Healthcare Provider Details

I. General information

NPI: 1992520514
Provider Name (Legal Business Name): VERNON ARRINGTON CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3331 DEL REY BLVD
LAS CRUCES NM
88012-7713
US

IV. Provider business mailing address

1681 ALTA VISTA PL
LAS CRUCES NM
88011-4875
US

V. Phone/Fax

Practice location:
  • Phone: 575-373-1033
  • Fax:
Mailing address:
  • Phone: 575-494-2122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF10240966
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: