Desiree Renee Provencio DNP, CNP, PMHNP-BC

NPI # 

Practice Address:

6300 Riverside Plaza Ln Nw Ste 100

Albuquerque, NM, 87120-1908

Practice Phone:

505-225-3110

Practice Fax:

505-207-7988

License Number:

CNP-03491

License State:

NM

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X

Updated by NPPES on 11/9/2023. You can view the original data set for NPI # 1336648328 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

Descriptive Alt Text

Desiree Renee Provencio , DNP, CNP, PMHNP-BC 's

CMS CPT® coding data

Prescription Medicine Icon

Desiree Renee Provencio , DNP, CNP, PMHNP-BC 's

CMS prescription data

Nearby Nurse Practitioner Physicians

NPI Scope Website Logo

© NPI Scope LLC 2025 - All rights reserved.

The information on npiscope.com is based upon data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA), and is provided "AS IS", subject to address and contact information verification. We do not guarantee the accuracy and/or reliability of the contents found on npiscope.com. Healthcare provider information may be obtained directly from the HHS under the FOIA. In the event of a medical emergency, please dial 911 or your local emergency services number immediately. This website is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and should not be relied upon as such.