MEDICARE: BELINDA ANNE RAND CPNP-PC

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	363L00000X	Nurse Practitioner	CNP-03511	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	:	1841794658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA ANNE RAND CPNP-PC

Provider Business Mailing Address
First Line	:	PO BOX 26666
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87125-6666
Country	:	US
Telephone Number	:	505-923-6770
Fax Number	:	505-923-5354

Provider Business Practice Location Address
First Line	:	PRESBYTERIAN MEDICAL GROUP, PEDIATRICS
Second Line	:	4005 HIGH RESORT BLVD SE
City	:	RIO RANCH
State	:	NM
Zip	:	87124-0000
Country	:	US
Telephone Number	:	505-291-2770
Fax Number	:

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

Provider Enumeration Date	:	03/19/2018
Last Update Date	:	04/26/2018

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