Individual
DR. DESIREE RENEE PROVENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CNP, PMHNP-BC
Contact information
Practice address
9384 VALLEY VIEW DR NW STE 400, ALBUQUERQUE, NM 87114-4403
(505) 225-3110
(505) 207-7988
Mailing address
PO BOX 45450, RIO RANCHO, NM 87174-5450
(505) 225-3110
(505) 207-7988
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-03491
NM
Other
Enumeration date
02/06/2018
Last updated
11/18/2025
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