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Contact Information

DAVID ELLIOTT
105 MILLS AVE STE 300
LAS VEGAS, NM87701-4169
 Phone: 505-425-9311
 Fax: 505-425-9047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID ELLIOTT · (Female)

NPI # 1649408121
Status Active
Credentials
Entity Individual
Enumeration date 06/23/2009
Last updated 06/23/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 76-31
  • NM License # 92-PA09
  • NM License # R53421
  • NM Medicaid 13003
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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