Individual
MIKAELLA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2300 GRANDE BLVD SE, RIO RANCHO, NM 87124-1755
(505) 896-7100
(505) 891-5711
Mailing address
2300 GRANDE BLVD SE, RIO RANCHO, NM 87124-1755
(505) 896-7100
(505) 891-5711
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74910
NM
Other
Enumeration date
08/29/2023
Last updated
08/01/2024
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