institution
Mind Medicine Clinic Llc
Psychiatric/Mental Health Nurse Practitioner in Albuquerque, New Mexico
NPI 1194402503

Mind Medicine Clinic Llc is a Psychiatric/Mental Health Nurse Practitioner based in Albuquerque, NM and is specialized in Psychiatric/Mental Health. Mind Medicine Clinic Llc practices in Albuquerque, NM. The NPI Number for Mind Medicine Clinic Llc is 1194402503 and holds a License No. (New Mexico).

The current practice location address for Mind Medicine Clinic Llc is 1608 5Th St Nw, Albuquerque, NM and can be reached out via phone at 312-882-0432.

Location: 1608 5Th St Nw, Albuquerque, NM, 87102-1302
institution
Provider Profile Details
NPI Number
1194402503
Provider Name
Mind Medicine Clinic Llc
Credential
Provider Entity Type
Organization
Address
1608 5Th St Nw, Albuquerque, NM, 87102-1302
Phone Number
312-882-0432
Fax Number
Provider Enumeration Date
06/28/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
545-245-63 05 NM
1659066512 01 INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1608 5Th St Nw
City
State
Zip
87102-1302
Phone Number
312-882-0432
Fax Number
person
Provider Business Mailing Address Details
Address
1608 5Th St Nw
City
State
Zip
87102-1302
Phone Number
312-882-0432
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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