| NPI | 1366167272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANU NEELIYARA Owner 505-225-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |