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Dr. Desiree Renee Provencio, DNP,CNP,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Albuquerque, New Mexico
NPI 1336648328

Desiree Renee Provencio is a Psychiatric/Mental Health Nurse Practitioner based in Albuquerque, NM and is specialized in Psychiatric/Mental Health. Desiree Renee Provencio practices in Albuquerque, NM and has the professional credentials of DNP,CNP,PMHNP-BC. The NPI Number for Desiree Renee Provencio is 1336648328 and holds a License No. CNP-03491 (New Mexico).

The current practice location address for Desiree Renee Provencio is 6300 Riverside Plaza Ln Nw Ste 100, Albuquerque, NM and can be reached out via phone at 505-225-3110 and via fax at 505-207-7988.

Location: 6300 Riverside Plaza Ln Nw Ste 100, Albuquerque, NM, 87120-1908
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Provider Profile Details
NPI Number
1336648328
Provider Name
Desiree Renee Provencio
Credential
DNP,CNP,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
6300 Riverside Plaza Ln Nw Ste 100, Albuquerque, NM, 87120-1908
Phone Number
505-225-3110
Fax Number
505-207-7988
Provider Enumeration Date
02/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6300 Riverside Plaza Ln Nw Ste 100
City
State
Zip
87120-1908
Phone Number
505-225-3110
Fax Number
505-207-7988
person
Provider Business Mailing Address Details
Address
6300 Riverside Plaza Ln Nw Ste 100
City
State
Zip
87120-1908
Phone Number
505-225-3110
Fax Number
505-207-7988
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP-03491 (New Mexico)
Definition
Definition to come...
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