MISPER ETANDO


Address: 2504 Camino Entrada, Santa Fe, NM 87507-4851
Phone: 5054755006

MISPER ETANDO (NPI# 1033752324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033752324
Entity Type Individual
Full Name MISPER ETANDO
Credential PMHNP-BC
Practice Address 2504 Camino Entrada
Santa Fe
NM 87507-4851
Mailing Address 14114 Grovemist Ln
Houston
TX 77082-2168
Practice Telephone 5054755006
Mailing Telephone 8328936879
Enumeration Date 2019-10-20
Last Update Date 2019-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
58225 NM Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP141620 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2504 CAMINO ENTRADA
City SANTA FE
State NM
Zip Code 87507-4851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669402103 Christopher Clancy Psychiatry & Neurology 2504 Camino Entrada, Santa Fe, NM 87507-4851 2006-07-03
1003420696 Heidi Mae Gall Counselor 2504 Camino Entrada, Santa Fe, NM 87507-4851 2020-09-01
1538779897 Sun Wiltse Vega Case Manager/Care Coordinator 2504 Camino Entrada, Santa Fe, NM 87507 2020-08-03
1740808518 Bernadette D Mares Social Worker 2504 Camino Entrada, Santa Fe, NM 87507-4851 2020-07-08
1982248662 Teambuilders Behavioral Health, Inc. Counselor 2504 Camino Entrada, Santa Fe, NM 87507-4851 2019-11-05
1790329472 Teambuilders Behavioral Health, LLC Counselor 2504 Camino Entrada, Santa Fe, NM 87507-4851 2019-11-05
1770126468 Blake Ann Kish, Bms Behavioral Analyst 2504 Camino Entrada, Santa Fe, NM 87507-4851 2019-10-24
1851949739 Briahna Easton Behavioral Analyst 2504 Camino Entrada, Santa Fe, NM 87507-4851 2019-09-03
1689222093 Lori Diane Shepard Social Worker 2504 Camino Entrada, Santa Fe, NM 87507-4851 2019-08-28
1922660240 Cecelia Romero Case Manager/Care Coordinator 2504 Camino Entrada, Santa Fe, NM 87507-4851 2019-07-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093316390 Cynthia Lois Meyers Pharmacy 2709 Cerrillos Road, Santa Fe, NM 87507 2020-11-03
1578160685 Nancy Benigsohn Counselor 4001 Office Courte., Suite 603, Santa Fe, NM 87507 2020-10-02
1730684853 Presbyterian Healthcare Services General Acute Care Hospital 4801 Beckner Road, Santa Fe, NM 87507 2018-03-29
1033623780 Averie Montgomery-diener Physical Therapy Assistant 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 2017-11-16
1013426790 Deja Nicole Mendez Behavior Technician 2213 Paseo De Tercero, Santa Fe, NM 87507 2017-09-25
1548787633 Lauren Sherwood Behavior Technician 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 2017-08-29
1972032563 Alyssa Butler Counselor 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 2017-06-07
1093253221 Stateserv Medical Durable Medical Equipment & Medical Supplies 4326 Airport Road, Unit F, Santa Fe, NM 87507 2017-02-08
1891233128 Daniel & Max, LLC Optometrist 4079 Cerillos Road, Santa Fe, NM 87507 2017-02-07
1508225749 Youth Shelters and Family Services Counselor 5686 B Agua Fria Street, Santa Fe, NM 87507 2016-02-16
Find all providers in zip 87507

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477151116 Lauren Jones Sparks Nurse Practitioner 9 Calle Venado, Santa Fe, NM 87506-0153 2020-10-14
1477173896 Diane Johnston, Pmhnp, LLC Nurse Practitioner 1619 Villa Strada, Santa Fe, NM 87506-4512 2020-04-27
1750836359 Laura Murphy Nurse Practitioner 1220 Senda Del Valle, Unit D, Santa Fe, NM 87507-7738 2016-08-24
1588686158 Edward Ray Lobaugh Nurse Practitioner 7 Caliente Rd Unit B1, Santa Fe, NM 87508-3104 2006-07-24
1508400607 Abigail Banmbuh Nurse Practitioner 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 2019-10-31
1407331861 Lindsey Schweiger-whalen Nurse Practitioner 1800 Old Pecos Trl Ste A, Santa Fe, NM 87505-4759 2018-10-01
1699144998 Miles Lessen Nurse Practitioner 1422 Paseo De Peralta, Santa Fe, NM 87501-4391 2015-09-17
1124308689 Nicole Broderson Nurse Practitioner 1421 Luisa St, Suite N, Santa Fe, NM 87505-4073 2011-08-27
1619996592 Cynthia T Greywolf Nurse Practitioner 901 W Alameda St Ste 25, Santa Fe, NM 87501 2006-07-19
1891710083 Barbara A. Gilmore Nurse Practitioner 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 2006-07-12
Find all providers in SANTA FE

Competitor

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City SANTA FE
Zip Code 87507

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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