Organization · Type 2 NPI
Sandia Crest Mental Health LLC
Psychiatric/Mental Health Nurse Practitioner · Moriarty, NM
NPI number
1932373743
Active
Practice location
1701 US Route 66, Suite D
Moriarty, NM 87035
Mailing address
PO Box 3823
Moriarty, NM 87035-3823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R45675 (NM) |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | R45675 (NM) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Moriarty
About NPI 1932373743
Sandia Crest Mental Health LLC's National Provider Identifier is 1932373743, issued on Apr 14, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Moriarty, NM. The record was last updated on Sep 19, 2012.