Organization
NEW MEXICO ADHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY KENNEDY (OWNER, ARNP)
(505) 750-4001
Entity
Organization
Contact information
Practice address
2582 CAMINO PLATA LOOP NE, RIO RANCHO, NM 87144-5825
(505) 750-4001
(505) 230-4201
Mailing address
2582 CAMINO PLATA LOOP NE, RIO RANCHO, NM 87144-5825
(505) 750-4001
(505) 230-4201
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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