Provider Demographics
NPI:1144220062
Name:JAMES, HARRIET L (CNP)
Entity Type:Individual
Prefix:MS
First Name:HARRIET
Middle Name:L
Last Name:JAMES
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4351 JAGER DR NE
Mailing Address - Street 2:SUITE C
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-7523
Mailing Address - Country:US
Mailing Address - Phone:505-771-1180
Mailing Address - Fax:888-200-7708
Practice Address - Street 1:4351 JAGER DR NE
Practice Address - Street 2:SUITE C
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-7523
Practice Address - Country:US
Practice Address - Phone:505-771-1180
Practice Address - Fax:888-200-7708
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR37554363LF0000X
NMR37554, CNP00821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM56378726Medicaid
NMP50115Medicare UPIN