Healthcare Provider Details

I. General information

NPI: 1558094649
Provider Name (Legal Business Name): MORGAN ALEXANDRA SMITH PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 11/30/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 ASPEN DR STE 700B
SANTA FE NM
87505-5470
US

IV. Provider business mailing address

1925 ASPEN DR STE 700B
SANTA FE NM
87505-5470
US

V. Phone/Fax

Practice location:
  • Phone: 505-500-6427
  • Fax: 505-424-3321
Mailing address:
  • Phone: 505-500-6427
  • Fax: 505-424-3321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number68827
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: