BRAIN BALANCE LIFE BALANCE INC NPI 1891421467

NPI Information

NPI: 1891421467
Provider Name: BRAIN BALANCE LIFE BALANCE INC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
719 W APACHE ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 436-2347
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BRAIN BALANCE LIFE BALANCE INC is a psychiatric/mental health nurse practitioner in Farmington, NM. BRAIN BALANCE LIFE BALANCE INC NPI is 1891421467. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

719 W APACHE ST
FARMINGTON, NM
ZIP 87401-512
Phone: (505) 436-2347
Fax: (505) 278-8939

The provider's authorized official is Vida M Guffey .
The authorized official title is Nurse Case Manager and has the following contact phone number (505) 436-2347.

The enumeration date for this NPI number is 7/26/2022 and was last updated on 7/26/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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