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Search › New Mexico › Psychiatric/Mental Health Nurse Practitioner

Desiree Provencio, DNP, CNP, PMHNP-BC

NPI 1336648328 · on the registry since 2018 · sole proprietor

Practice

Address
9384 Valley View Dr Nw Ste 400
Albuquerque, NM 87114
Phone
(505) 225-3110
Fax
(505) 207-7988
Organisation at this address
Spinal Mechanic Inc.
High Desert Psychiatry Llc
Abq Specialty Hearing Company, Llc
Sandia Vista Psychiatric-Mental Health
New Mexico Professional Dental Associates, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-18

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