SANDIA VISTA PSYCHIATRIC-MENTAL HEALTH is a psychiatric/mental health nurse practitioner in Albuquerque, NM. SANDIA VISTA PSYCHIATRIC-MENTAL HEALTH NPI is 1396464723. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6300 RIVERSIDE PLAZA LN NW STE 100 ALBUQUERQUE, NM ZIP 87120-908 Phone: (505) 585-5401 Fax: (505) 207-7988
The provider's authorized official is Desiree R Provencio . The authorized official title is Member/manager and has the following contact phone number (505) 585-5401.
The enumeration date for this NPI number is 8/29/2022 and was last updated on 10/31/2023.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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