Individual provider · Type 1 NPI

Dominique Pummill, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM

NPI number 1609364249 Active

Practice location

601 Martin Luther King Ave NE
Albuquerque, NM 87102-3619

Mailing address

PO Box 966
Fairacres, NM 88033-0966

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XCNP03564 (NM)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1609364249

Dominique Pummill, PMHNP's National Provider Identifier is 1609364249, issued on Apr 30, 2018. 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 30, 2018.