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NPI Code Detail

MEDICARE: RANJANA VERMA PMHNP-BC, MD

MEDICARE: RANJANA VERMA PMHNP-BC, MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0003718CO
2363LP0808XPsychiatric/Mental Health Nurse Practitioner75796NM

General Provider Information

NPI Number : 1417398298
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANJANA VERMA PMHNP-BC, MD
Provider Business Mailing Address
First Line : 385 CALLE DE ALEGRA STE A
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3423
Country : US
Telephone Number : 575-526-1105
Fax Number : 575-524-4266
Provider Business Practice Location Address
First Line : 760 N MOTEL BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88007-4169
Country : US
Telephone Number : 575-527-7975
Fax Number : 575-674-2861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2013
Last Update Date : 02/10/2025

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