Organization
MINDREMEDI LLC
Active
Other names
Franklin Porcil
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ARMENTA CPB (BILLING/CREDENTIALING SPECIALIST)
(228) 334-6609
Entity
Organization
Contact information
Practice address
500 4TH ST NW, ALBUQUERQUE, NM 87102-5324
(707) 639-3463
Mailing address
500 4TH ST NW STE 102, ALBUQUERQUE, NM 87102-2104
(707) 639-3463
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
04/22/2024
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