NPI 1760964506 · live from the CMS NPI Registry
Leigh Barham
Nurse Practitioner, Primary Care in Los Alamos, NM. National Provider Identifier 1760964506, active.
NPI record
| NPI | 1760964506 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 3917 West Rd Ste A, Los Alamos, NM 87544 |
| Practice phone | 505-661-8900 |
| Enumerated | August 29, 2018 |
| Last updated | August 29, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | CNP-53780 (NM) |
| Nurse Practitioner, Primary Care primary | 363LP2300X | CNP-53780 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.