Healthcare Provider Details

I. General information

NPI: 1649675562
Provider Name (Legal Business Name): VERONICA UMERAH PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2014
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 JOHN DANTIS RD SW
ALBUQUERQUE NM
87151-0100
US

IV. Provider business mailing address

100 JOHN DANTIS RD SW
ALBUQUERQUE NM
87151-0100
US

V. Phone/Fax

Practice location:
  • Phone: 505-417-1416
  • Fax:
Mailing address:
  • Phone: 505-417-1416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP142905
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number58366
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: