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General NPI Number Information
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NPI Number | 1194445528
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Entity Type | Organization
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Legal Business Name | HIGH DESERT PSYCHIATRY LLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 9384 VALLEY VIEW DR NW STE 400
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-4403
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Country | US
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Telephone | 505-595-7092
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Fax |
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Provider Business Mailing Address
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Address Line | 900 PINETREE RD SE # 15197
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City | RIO RANCHO
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State | NM
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Zip | 87124-7615
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Country | US
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Telephone | 505-917-6932
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MS. ELENA M CRESPIN
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Credential | DNP, CNP, PMHNP-BC
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Telephone | 505-917-6932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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