Tashina Charen Nelson
Community Health Worker in Santo Domingo Pueblo, NM. Individual provider (NPI-1).
NPI number1104599166
StatusActive
Last updated in NPPESJul 27, 2021
Details
- NPI
- 1104599166
- Entity type
- Individual (NPI-1)
- Name
- Tashina Charen Nelson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jul 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
85 West Highway 22Santo Domingo Pueblo, NM 87052-8705
Phone 505-465-3060
Mailing address
Po Box 340Santo Domingo Pueblo, NM 87052-0340
Phone 505-465-3072
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All 20 Community Health Worker providers in Santo Domingo Pueblo · All 77 providers in Santo Domingo Pueblo
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