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 |