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Individual

ALISHA MARIE MCLEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
2418 PALOMAS DR NE, ALBUQUERQUE, NM 87110-4036
(469) 456-7759

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
891155
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1057290
TX

Other

Enumeration date
08/31/2021
Last updated
12/09/2021
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