Healthcare Provider Details

I. General information

NPI: 1326416082
Provider Name (Legal Business Name): ESTHER DENISE VERZI CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ESTHER DENISE PEREA RN, CNP

II. Dates (important events)

Enumeration Date: 09/10/2015
Last Update Date: 08/22/2023
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 MARBLE AVE NE
ALBUQUERQUE NM
87131-4045
US

IV. Provider business mailing address

PO BOX 561
PLACITAS NM
87043-0561
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2800
  • Fax:
Mailing address:
  • Phone: 505-404-9364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number192948
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP-02747
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: