Individual
MRS. DEBRA STANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8605 VINEYARD RIDGE RD NE, ALBUQUERQUE, NM 87122-2623
(505) 620-6389
Mailing address
PO BOX 92541, ALBUQUERQUE, NM 87199-2541
(505) 620-6389
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R31468
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP-01597
PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER - BC
NM
01
—
R31468
REGISTERED NURSE
NM
Enumeration date
04/10/2008
Last updated
05/09/2015
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