Organization
POE PSYCHIATRY PC
Active
Other names
Poe Psychiatry PC
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY B POE (CEO / OWNER)
(505) 427-0401
Entity
Organization
Contact information
Practice address
234 N SCHWARTZ AVE, FARMINGTON, NM 87401
(505) 427-0401
(505) 787-2174
Mailing address
234 N SCHWARTZ AVE, FARMINGTON, NM 87401-5547
(505) 427-0401
(505) 787-2174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02352
NM
376K00000X
Nurse's Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81905301
—
NM
Enumeration date
06/15/2017
Last updated
06/20/2018
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