Individual provider · Type 1 NPI
Terese Aileen O'Neil Selvage, MN, CNP
Adult Health Nurse Practitioner · Santa Fe, NM
NPI number
1205935004
Active
Practice location
1160 Camino De Cruz Blanca
Santa Fe, NM 87505-4584
Fax (505) 984-6918
Mailing address
PO Box 6880
Santa Fe, NM 87502-6880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP00790 (NM) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | R36675 (NM) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1205935004
Terese Aileen O'Neil Selvage, MN, CNP's National Provider Identifier is 1205935004, issued on Sep 21, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Santa Fe, NM. The record was last updated on Jan 17, 2024.