Healthcare Provider Details

I. General information

NPI: 1164702809
Provider Name (Legal Business Name): FRANCIS Q. CORTES PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2011
Last Update Date: 04/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 MADEIRA DR NE SUITE 222
ALBUQUERQUE NM
87108-1522
US

IV. Provider business mailing address

120 MADEIRA DR NE SUITE 222
ALBUQUERQUE NM
87108-1522
US

V. Phone/Fax

Practice location:
  • Phone: 505-359-7220
  • Fax:
Mailing address:
  • Phone: 505-359-7220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP-01825
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: