Search › New Mexico › 171M00000X
Stacey Boone
NPI 1134519200 · on the registry since 2015 · sole proprietor
Practice
- Address
- 618 Manzano St Ne
Albuquerque, NM 87110 - Phone
- (505) 925-4355
- Organisation at this address
- University Of New Mexico Hospital
Mesa Path Behavioral And Wellness LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 171M00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico