Individual provider · Type 1 NPI

Ryan Lutheran

Peer Specialist · Albuquerque, NM

NPI number 1053108035 Active

Practice location

2600 Marble Ave NE
Albuquerque, NM 87106-2058

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1053108035

Ryan Lutheran's National Provider Identifier is 1053108035, issued on Apr 22, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Albuquerque, NM. The record was last updated on May 15, 2025.