Individual provider · Type 1 NPI
Milagros Mirdo, CNP
Psychiatric/Mental Health Nurse Practitioner · Farmington, NM
NPI number
1336646975
Active
Practice location
4801 N Butler Ave Ste 9102
Farmington, NM 87401-3300
Mailing address
6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977
Other practice locations
- 4740 N Butler Ave, Farmington, NM 87401-0826 · (505) 324-6300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 53572 (NM) |
| Family Nurse Practitioner | 363LF0000X | 53572 (NM) |
| Nurse Practitioner | 363L00000X | 106689 (OK) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336646975
Milagros Mirdo, CNP's National Provider Identifier is 1336646975, issued on Apr 10, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Farmington, NM. The record was last updated on Feb 4, 2026.