Organization
BLOOMING CACTUS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PALA-NICOLE RIVERA CNP (OWNER / DIRECTOR)
(505) 730-5020
Entity
Organization
Contact information
Practice address
7801 ACADEMY RD NE STE 2-104, ALBUQUERQUE, NM 87109-3189
(505) 730-5020
(505) 212-5500
Mailing address
9012 GALAXIA WAY NE, ALBUQUERQUE, NM 87111-1441
(505) 730-5020
(505) 387-3257
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
03/24/2026
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