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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