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Organization
BLUE SKY PSYCHIATRY LLC
Active
Organization
BLUE SKY PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STELA MIDDLETON CNP (OWNER)
(505) 633-7898
Entity
Organization
Contact information
Practice address
4001 JUAN TABO BLVD NE STE D, ALBUQUERQUE, NM 87111-3979
(505) 738-6989
(505) 355-1394
Mailing address
4001 JUAN TABO BLVD NE STE D, ALBUQUERQUE, NM 87111-3979
(505) 738-6989
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/25/2023
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