| NPI | 1265297451 |
|---|---|
| Doing Business As | ADRIANA BOULTON PMHNP-BC |
| Entity Type | Organization |
| Authorized Contact | ADRIANA BOULTON Owner 505-288-0783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |