institution
Nirvana Mental Healthcare Services Inc
Psychiatric/Mental Health Nurse Practitioner in Roswell, New Mexico
NPI 1639690159

Nirvana Mental Healthcare Services Inc is a Psychiatric/Mental Health Nurse Practitioner based in Roswell, NM and is specialized in Psychiatric/Mental Health. Nirvana Mental Healthcare Services Inc practices in Roswell, NM. The NPI Number for Nirvana Mental Healthcare Services Inc is 1639690159 and holds a License No. CNP-03247 (New Mexico).

The current practice location address for Nirvana Mental Healthcare Services Inc is 400 N Pennsylvania Ave Ste 670D, Roswell, NM and can be reached out via phone at 844-779-2437 and via fax at 575-208-0780.

Location: 400 N Pennsylvania Ave Ste 670D, Roswell, NM, 88202-8244
institution
Provider Profile Details
NPI Number
1639690159
Provider Name
Nirvana Mental Healthcare Services Inc
Credential
Provider Entity Type
Organization
Address
400 N Pennsylvania Ave Ste 670D, Roswell, NM, 88202-8244
Phone Number
844-779-2437
Fax Number
575-208-0780
Provider Enumeration Date
07/06/2017
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4482000 05 NM
institution
Provider Business Practice Location Address Details
Address
400 N Pennsylvania Ave Ste 670D
City
State
Zip
88201-4754
Phone Number
844-779-2437
Fax Number
575-208-0780
person
Provider Business Mailing Address Details
Address
400 N Pennsylvania Ave Ste 670D
City
State
Zip
88201-4754
Phone Number
844-779-2437
Fax Number
575-208-0780
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP-03247 (New Mexico)
Definition
Definition to come...
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