Organization
GREEN MINDS MATTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE OKORONKWO DNP (FOUNDER)
(469) 569-8665
Entity
Organization
Contact information
Practice address
5805 MCNUTT RD, SANTA TERESA, NM 88008-8001
(469) 569-8665
Mailing address
4940 CATTLE LN, EL PASO, TX 79934-2835
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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