| NPI | 1689478505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MESTAS Psychiatric Mental Health Np 505-999-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |