Organization
ABQ WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MESTAS NP (PARTNER)
(505) 999-0470
Entity
Organization
Contact information
Practice address
2900 LOUISIANA BLVD NE STE A2, ALBUQUERQUE, NM 87110-3550
(505) 999-0470
Mailing address
2900 LOUISIANA BLVD NE STE A2, ALBUQUERQUE, NM 87110-3550
(505) 999-0470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/02/2025
Last updated
04/06/2026
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