MEDICARE: FRANCIS Q. CORTES PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	CNP-01825	NM

General Provider Information

NPI Number	:	1164702809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS Q. CORTES PMHNP-BC

Provider Business Mailing Address
First Line	:	120 MADEIRA DR NE
Second Line	:	SUITE 222
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-1522
Country	:	US
Telephone Number	:	505-359-7220
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 MADEIRA DR NE
Second Line	:	SUITE 222
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-1522
Country	:	US
Telephone Number	:	505-359-7220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2011
Last Update Date	:	04/30/2014

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