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Organization
ROOTED IN WELLNESS LLC
Active
Organization
ROOTED IN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONYELLE SHARMANE MILLER PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(612) 272-4979
Entity
Organization
Contact information
Practice address
600 CENTRAL AVE SE, ALBUQUERQUE, NM 87102-3656
(612) 272-4979
Mailing address
43 MEIKLE RD, TIJERAS, NM 87059-8250
(612) 272-4979
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
09/05/2022
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