Search › New Mexico › 208D00000X
Nadezda Tretyakova, MD
NPI 1477832590 · on the registry since 2011
Practice
- Address
- 80 B Veterans Blvd
I-40, Exit 102
Acoma, NM 87034 - Phone
- (505) 552-5300
- Fax
- (505) 552-5828
- Organisation at this address
- Acoma Canoncito Laguna Pharmacy
Acoma-Canoncito-Laguna Indian Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico