Healthcare Provider Details

I. General information

NPI: 1649138272
Provider Name (Legal Business Name): TEIO NABEE DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1389 ASHLYNN PL NE
RIO RANCHO NM
87144-2580
US

IV. Provider business mailing address

1389 ASHLYNN PL NE
RIO RANCHO NM
87144-2580
US

V. Phone/Fax

Practice location:
  • Phone: 919-917-3928
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number87357
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: