Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Desiree Renee Provencio, DNP, CNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1336648328

Dr. Desiree Renee Provencio, DNP, CNP, PMHNP-BC is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2017, 9 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
9
Licensed in
NM
In the registry since
2018
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

9384 Valley View Dr NW Ste 400
Albuquerque, NM 87114-4403
Phone: (505) 225-3110
Fax: (505) 207-7988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP-03491 (NM)

Record details

NPI number1336648328
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , CNP , PMHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 6, 2018
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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