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Organization
BUENA VISTA PSYCHIATRY LLC
Active
Organization
BUENA VISTA PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE DALEY (OWNER)
(512) 406-1157
Entity
Organization
Contact information
Practice address
9701 MONTGOMERY BLVD NE # 1141, ALBUQUERQUE, NM 87111-3501
(512) 406-1157
Mailing address
9701 MONTGOMERY BLVD NE # 1141, ALBUQUERQUE, NM 87111-3501
(512) 406-1157
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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