Otero-Granger, Rebecca Anne

Otero-Granger, Rebecca Anne is an sole proprietor health care provider with primary practice located at 111 Isleta Blvd Sw , Albuquerque NM 87105-3896. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Otero-Granger, Rebecca Anne can be contacted via phone (505) 200-2647.

Contact Information

Primary practice address
111 Isleta Blvd Sw Albuquerque NM 87105-3896
Phone: (505) 200-2647
Fax: (505) 200-2695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X CNP-02087 New Mexico

Profile Details

NPI number 1871838078
LBN Legal business name Otero-Granger, Rebecca Anne
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2012
Last updated Nov 29th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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