Organization
MUSTANG MANAGEMENT GROUP TR
Active
Other names
On The Mend MH
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER BLACKNALL DNP, PMHNP (OWNER)
(505) 316-5966
Entity
Organization
Contact information
Practice address
500 MARQUETTE AVE NW STE 1219, ALBUQUERQUE, NM 87102-5340
(505) 316-5966
(505) 422-4073
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
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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