| NPI | 1861274599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELA MIDDLETON Owner 505-633-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-25 |