OrganizationActive
Brain Balance Life Balance Inc
NPI 1891421467 · Psychiatric/Mental Health Nurse Practitioner · Farmington, NM
Provider details
- NPI number
- 1891421467
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Vida Guffey, Nurse Case Manager(505) 436-2347
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
719 W Apache St
Farmington, NM 87401-5512
Phone: (505) 436-2347
Fax: (505) 278-8939
Approximate (ZIP-level) locationGet directions
Mailing address
719 W Apache St
Farmington, NM 87401-5512
Registry dates
- Enumerated
- 2022-07-26
- Last updated
- 2022-07-26
- Certified
- 2022-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.