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Organization

BLUE SKY PSYCHIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STELA MIDDLETON CNP (OWNER)
(505) 633-7898
Entity
Organization

Contact information

Practice address
4001 JUAN TABO BLVD NE STE D, ALBUQUERQUE, NM 87111-3979
(505) 738-6989
(505) 355-1394
Mailing address
4001 JUAN TABO BLVD NE STE D, ALBUQUERQUE, NM 87111-3979
(505) 738-6989

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
10/17/2023
Last updated
10/25/2023
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