Healthcare Provider Details

I. General information

NPI: 1124781539
Provider Name (Legal Business Name): ELENA CRESPIN DNP CNP PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE NM
87114-4403
US

IV. Provider business mailing address

296 FLEET RD NW
RIO RANCHO NM
87124
US

V. Phone/Fax

Practice location:
  • Phone: 505-595-7092
  • Fax: 775-372-2185
Mailing address:
  • Phone: 505-917-6932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number65745
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: