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Individual

REBECCA ANNE OTERO-GRANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
111 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-3896
(505) 200-2647
(505) 200-2695
Mailing address
1504 N MESA RD, BELEN, NM 87002-8528
(505) 350-1035
(505) 200-2695

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
CNP-02087
NM

Other

Enumeration date
11/29/2012
Last updated
11/29/2012
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