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Organization
BANYAN TREE MIND & WELLNESS LLC
Active
Organization
BANYAN TREE MIND & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY RUFFANER HANSON CNP (PMHNP-BC)
(505) 551-5553
Entity
Organization
Contact information
Practice address
1740 GRANDE BLVD SE STE B2, RIO RANCHO, NM 87124-1799
(505) 551-5553
(949) 864-1692
Mailing address
1740 GRANDE BLVD SE STE B2, RIO RANCHO, NM 87124-1799
(505) 551-5553
(575) 733-8158
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
09/03/2026
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