DR. Desiree Renee Provencio, DNP, CNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Albuquerque, NM with 7 years of experience. DR. Desiree Renee Provencio, DNP, CNP, PMHNP-BC NPI is 1336648328. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
6300 RIVERSIDE PLAZA LN NW STE 100
ALBUQUERQUE, NM
ZIP 87120-908
Phone: (505) 225-3110
Fax: (505) 207-7988
The NPI 1336648328 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/6/2018 and was last updated on 11/9/2023.