Healthcare Provider Details

I. General information

NPI: 1659254894
Provider Name (Legal Business Name): ALAINA NOEL STENBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2502 MARBLE AVE
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

PO BOX 6441
DILLON CO
80435-6441
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-4223
  • Fax:
Mailing address:
  • Phone: 970-409-8640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number65302
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: