Healthcare Provider Details

I. General information

NPI: 1093646978
Provider Name (Legal Business Name): BUTTERFLY TRANSITION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11A PRIVATE DRIVE 1525
HERNANDEZ NM
87537-9711
US

IV. Provider business mailing address

PO BOX 111
ESPANOLA NM
87532-0111
US

V. Phone/Fax

Practice location:
  • Phone: 505-279-1801
  • Fax: 505-638-8999
Mailing address:
  • Phone: 505-279-1801
  • Fax: 505-638-8999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARGARET MARY TRIVINO
Title or Position: PMHNP
Credential: NP
Phone: 505-279-1801