Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sandia Vista Psychiatric-Mental Health

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1396464723

Sandia Vista Psychiatric-Mental Health is a Psychiatric/Mental Health Nurse Practitioner in Albuquerque, New Mexico. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

9384 Valley View Dr NW Ste 400
Albuquerque, NM 87114-4403
Phone: (505) 225-3110
Fax: (505) 207-7988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1396464723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Desiree Provencio — Member/Manager · (505) 225-3110
NPI enumeratedAugust 29, 2022
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing addressPo Box 45450, Rio Rancho, NM 87174-5450

Other providers in Albuquerque