person
Ms. Mary Louise Blankenship, RN,FNP,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Rio Rancho, New Mexico
NPI 1356358477

Mary Louise Blankenship is a Psychiatric/Mental Health Nurse Practitioner based in Hermiston, NM and is specialized in Psychiatric/Mental Health. Mary Louise Blankenship practices in Rio Rancho, NM and has the professional credentials of RN,FNP,PMHNP-BC. The NPI Number for Mary Louise Blankenship is 1356358477 and holds a License No. 0375722 (New Mexico).

The current practice location address for Mary Louise Blankenship is 3188 Southern Blvd Se Ste B1, Rio Rancho, NM and can be reached out via phone at 505-200-9158 and via fax at 505-200-9497. You can also correspond with Mary Louise Blankenship through the mailing address at 1907 NW 6TH ST, HERMISTON, OR - 97838-1148 (mailing address contact number: 972-825-2575).

Location: 3188 Southern Blvd Se Ste B1, Rio Rancho, NM, 97838-1148
person
Provider Profile Details
NPI Number
1356358477
Provider Name
Mary Louise Blankenship
Credential
RN,FNP,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3188 Southern Blvd Se Ste B1, Rio Rancho, NM, 97838-1148
Phone Number
505-200-9158
Fax Number
505-200-9497
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3017279-01 05 TX
77056396 05 NM
institution
Provider Business Practice Location Address Details
Address
3188 Southern Blvd Se Ste B1
City
State
Zip
87124-1989
Phone Number
505-200-9158
Fax Number
505-200-9497
person
Provider Business Mailing Address Details
Address
1907 Nw 6Th St
City
State
Zip
97838-1148
Phone Number
972-825-2575
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.
2023150476 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
0375722 (New Mexico)
Definition
Definition to come...
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