Organization
NIRVANA MENTAL HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYANNA WILLIAMS CNP (OWNER)
(844) 779-2437
Entity
Organization
Contact information
Practice address
120 WATERFRONT ST STE 420, NATIONAL HARBOR, MD 20745-1122
(240) 647-8262
(575) 636-2591
Mailing address
PO BOX 8244, ROSWELL, NM 88202-8244
(575) 624-2095
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-03247
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4482000
—
NM
Enumeration date
07/06/2017
Last updated
07/25/2025
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