Organization · Type 2 NPI
Pine Psychiatric Care Services LLC
Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM
NPI number
1619647484
Active
Practice location
2727 San Pedro Dr NE Ste 118
Albuquerque, NM 87110-3364
Fax (505) 717-4007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1619647484
Pine Psychiatric Care Services LLC's National Provider Identifier is 1619647484, issued on Sep 14, 2021. 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 Aug 5, 2026.