Individual
AMBER LAUREN BLACKNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
6612 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 316-5966
Mailing address
500 MARQUETTE AVE NW STE 1219, ALBUQUERQUE, NM 87102-5340
(505) 316-5966
(505) 422-4073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
70510
NM
Other
Enumeration date
10/31/2022
Last updated
02/09/2024
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