Dr. Desiree Renee Provencio is a Albuquerque, New Mexico based nurse practitioner with 8 years of experience in Psych/Mental Health. She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Desiree Renee Provencio is CNP-03491 for Psych/Mental Health in New Mexico. Her current practice location is 6300 Riverside Plaza Ln Nw Ste 100, Albuquerque. Patients can reach her at 505-225-3110 or can fax her at 505-207-7988. Dr. Desiree Renee Provencio is DNP, CNP, PMHNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1336648328. Dr. Desiree Renee Provencio provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Dr. Desiree Renee Provencio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Desiree Renee Provencio
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
DNP, CNP, PMHNP-BC
Experience:
8+ years
Medical School Attended:
Other
Graduation Year:
2017
Accepts Medicare Assignment:
Yes
Practice Address:
6300 Riverside Plaza Ln Nw Ste 100, Albuquerque, New Mexico, 87120-1908
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5496017147
Enrollment ID:
I20180319000225
NPI Number:
1336648328
NPI Enumeration Date:
06 Feb, 2018
NPI Last Update On:
09 Nov, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Desiree Renee Provencio are as mentioned below.
License Number
Specialization
State
Status
CNP-03491
Psych/Mental Health
New Mexico
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Dr. Desiree Renee Provencio is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Presbyterian Medical Services (2062324684)
97
Southwest Care Center (8921043035)
16
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Desiree Renee Provencio 6300 Riverside Plaza Ln Nw Ste 100, Albuquerque, New Mexico
Zip:
87120-1908
Phone Number:
505-225-3110
Fax Number:
505-207-7988
Patients can reach Dr. Desiree Renee Provencio at 6300 Riverside Plaza Ln Nw Ste 100, Albuquerque, New Mexico or can call to book an appointment on 505-225-3110.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.