| NPI | 1336503176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MARIE STANGER Pmhnp Bc Sole Owner 505-856-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-01597) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |