| NPI | 1386250736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MARTIN Nurse Practitioner 505-450-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |