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Organization
L. D. MORMILE ADULT PSYCHIATRIC HEALTH CARE, LLC
Active
Organization
L. D. MORMILE ADULT PSYCHIATRIC HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DIANE MORMILE DNP, APRN, PMHNP-BC (OWNER/NURSE PRACTITIONER)
(575) 551-1183
Entity
Organization
Contact information
Practice address
1909 CUBA AVE STE 5, ALAMOGORDO, NM 88310-5646
(575) 551-1183
Mailing address
PO BOX 4056, ALAMOGORDO, NM 88311-4056
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/11/2020
Last updated
12/29/2020
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