Individual
MILES LESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1422 PASEO DE PERALTA, SANTA FE, NM 87501-4391
(505) 820-3496
Mailing address
1422 PASEO DE PERALTA, SANTA FE, NM 87501-4391
(505) 820-3496
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02943
NM
Other
Enumeration date
09/17/2015
Last updated
06/07/2016
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