OrganizationActive
Banyan Tree Mind & Wellness
NPI 1215873690 · Psychiatric/Mental Health Nurse Practitioner · Rio Rancho, NM
Provider details
- NPI number
- 1215873690
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mary Hanson, Pmhnp-Bc(505) 301-5153
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1740 Grande Blvd Se Ste B2
Rio Rancho, NM 87124-1799
Phone: (505) 750-0656
Approximate (ZIP-level) locationGet directions
Mailing address
1740 Grande Blvd Se Ste B2
Rio Rancho, NM 87124-1799
Registry dates
- Enumerated
- 2026-04-27
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.