Individual
DENISE PORTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4383
(505) 243-1458
Mailing address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4383
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN-83423
NM
163WS0200X
School Registered Nurse
RN-83423
NM
Other
Enumeration date
11/16/2018
Last updated
10/07/2022
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