Provider Demographics
NPI:1164702809
Name:CORTES, FRANCIS Q (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:Q
Last Name:CORTES
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 MADEIRA DR NE
Mailing Address - Street 2:SUITE 222
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-1522
Mailing Address - Country:US
Mailing Address - Phone:505-359-7220
Mailing Address - Fax:
Practice Address - Street 1:120 MADEIRA DR NE
Practice Address - Street 2:SUITE 222
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1522
Practice Address - Country:US
Practice Address - Phone:505-359-7220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-01825363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health