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GATEWAY PSYCHIATRIC SERVICES LLC NPI 1427726652


NPI Information

NPI: 1427726652
Provider Name: GATEWAY PSYCHIATRIC SERVICES LLC

Doing Business As: GATEWAY PSYCHIATRIC SERVICES

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2800 N DUSTIN AVE APT 122
FARMINGTON, NM
ZIP 87401
Phone: (240) 413-0936
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GATEWAY PSYCHIATRIC SERVICES LLC is a psychiatric/mental health nurse practitioner in Farmington, NM. GATEWAY PSYCHIATRIC SERVICES LLC NPI is 1427726652. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gateway Psychiatric Services.

The provider's business location address is:

2800 N DUSTIN AVE APT 122
FARMINGTON, NM
ZIP 87401-139
Phone: (240) 413-0936

The provider's authorized official is Emmanuel Kpwe Nji .
The authorized official title is Owner and has the following contact phone number (240) 413-0936.

The enumeration date for this NPI number is 9/2/2021 and was last updated on 12/11/2023.


Taxonomy Codes

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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

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: 4/28/2024

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