Individual
MATT W AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1310 LA VEGA DR SW, ALBUQUERQUE, NM 87105-3951
(505) 220-5612
Mailing address
1310 LA VEGA DR SW, ALBUQUERQUE, NM 87105-3951
(505) 220-5612
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
73159
NM
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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