TIFFIN MARIE ZELLERS


Address: 195 East Rd Ste 104, Los Alamos, NM 87544-4301
Phone: 5054127756

TIFFIN MARIE ZELLERS (NPI# 1205433802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205433802
Entity Type Individual
Full Name TIFFIN MARIE ZELLERS
Credential DNP
Practice Address 195 East Rd Ste 104
Los Alamos
NM 87544-4301
Mailing Address 1113 Orchard Unit C
Espanola
NM 87532-3803
Practice Telephone 5054127756
Mailing Telephone 5059270157
Enumeration Date 2020-10-06
Last Update Date 2020-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
60817 NM Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 195 EAST RD STE 104
City LOS ALAMOS
State NM
Zip Code 87544-4301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972746642 Brian James Haigh Psychiatry & Neurology 195 East Rd Ste 104, Los Alamos, NM 87544-4301 2009-04-10

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1679945935 Zia Home Health Home Health 1475 Central Ave., Suite 125, Los Alamos, NM 87544 2015-10-27
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1760824890 Lisa Renee Marr Lyon Psychologist 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 2013-07-17
1558629725 Rachel Meyer Dentist 112 Central Park Square, Los Alamos, NM 87544 2012-04-25
1902183908 Susana T. Chavarria Occupational Therapist 5 Quemazon Pl., Los Alamos, NM 87544 2011-11-04
1881998664 Dr. Tom Child and Adolescent Medicine Pediatrics Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 2011-01-07
1952565905 Dawn Judy Barr Social Worker 3 Agila Ct, Los Alamos, NM 87544 2008-07-17
1649452129 Ellen Vandergust Ballard Dentist 111 Longview, Suite B-3, White Rock, NM 87544 2007-11-27
1629290283 Wildwind Dental Dentist 111 Longview Drive, Suite B3, Los Alamos, NM 87544 2007-05-03
1255407342 Sarah Sue Teasdale Counselor 1362 C Trinity Dr, Los Alamos, NM 87544 2006-11-28
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ALAMOS
Zip Code 87544

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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