Organization
ADRIANA SUZANNE BOULTON LLC
Active
Other names
Adriana Boulton PMHNP-BC
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA BOULTON (OWNER)
(505) 288-0783
Entity
Organization
Contact information
Practice address
201 TULANE DR SE, ALBUQUERQUE, NM 87106-1413
(505) 288-0783
Mailing address
201 TULANE DR SE, ALBUQUERQUE, NM 87106-1413
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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