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NPI 1154752616

NPI 1154752616 : FATIMA MCELVEEN DNP, AGPCNP, PMHNP : LAS CRUCES, NM

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General NPI Number Information
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    NPI Number           |    1154752616
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    Entity Type          |    Individual 
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    Provider Name        |    FATIMA MCELVEEN DNP, AGPCNP, PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/10/2013
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    Last Update Date     |    11/29/2022
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Provider Practice Location Address
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    Address Line         |    999 W AMADOR AVE STE A 
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    City                 |    LAS CRUCES
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    State                |    NM
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    Zip                  |    88005-2739
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    Country              |    US
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    Telephone            |    575-527-5482
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    Fax                  |    575-652-4243
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2243 
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    City                 |    LAS CRUCES
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    State                |    NM
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    Zip                  |    88004-2243
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    Country              |    US
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    Telephone            |    575-527-5482
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    Fax                  |    575-652-4243
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    18187
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    18187
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    CNP-02397
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    License Number State |    NM
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