Provider Demographics
NPI:1255925509
Name:MORALES, DENISE R (DNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:R
Last Name:MORALES
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Gender:F
Credentials:DNP, PMHNP-BC
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Mailing Address - Street 1:205 W BOUTZ RD BLDG 8
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3262
Mailing Address - Country:US
Mailing Address - Phone:575-521-4555
Mailing Address - Fax:575-521-1169
Practice Address - Street 1:205 W BOUTZ RD BLDG 8
Practice Address - Street 2:SUITE 1
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3262
Practice Address - Country:US
Practice Address - Phone:575-521-4555
Practice Address - Fax:575-521-1169
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM63028363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health