Organization · Type 2 NPI
Desert Willow Behavioral Health, LLC
Psychiatric/Mental Health Nurse Practitioner · Alamogordo, NM
NPI number
1104693902
Active
Practice location
930 12th St Unit 670
Alamogordo, NM 88311-5828
Fax (575) 993-5106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104693902
Desert Willow Behavioral Health, LLC's National Provider Identifier is 1104693902, issued on Dec 11, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Alamogordo, NM. The record was last updated on May 28, 2026.