Individual
DR. ROY ADDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP DNP
Contact information
Practice address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 443-2968
(505) 443-8313
Mailing address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 443-2968
(505) 992-4990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
01548
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-01548
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17176719
—
NM
05
—
30925525
—
CO
01
—
CNP-01548
PMHNP
NM
01
—
RN-72155
RN
NM
Enumeration date
07/02/2005
Last updated
11/07/2023
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