MEDICARE: MS. HARRIET L JAMES CNP

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
1	363LF0000X	Family Nurse Practitioner	R37554	NM
2	363LF0000X	Family Nurse Practitioner	R37554, CNP00821	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144220062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HARRIET L JAMES CNP

Provider Business Mailing Address
First Line	:	4351 JAGER DR NE
Second Line	:	SUITE C
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-7523
Country	:	US
Telephone Number	:	505-771-1180
Fax Number	:	888-200-7708

Provider Business Practice Location Address
First Line	:	4351 JAGER DR NE
Second Line	:	SUITE C
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-7523
Country	:	US
Telephone Number	:	505-771-1180
Fax Number	:	888-200-7708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	11/19/2011

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