Organization · Type 2 NPI
Desert Bloom Telepsych Services LLC
Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM
NPI number
1336503176
Active
Practice location
8605 Vineyard Ridge Rd NE
Albuquerque, NM 87122-2623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | CNP-01597 (NM) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336503176
Desert Bloom Telepsych Services LLC's National Provider Identifier is 1336503176, issued on Apr 7, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Albuquerque, NM. The record was last updated on Apr 7, 2016.