| Janet Lee Gorham, APRN-CNP | |
|
120 Llano St, Aztec, NM 87410-2172 | |
| (505) 334-9441 | |
| Not Available |
| Full Name | Janet Lee Gorham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 120 Llano St, Aztec, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265604557 | NPI | - | NPPES |
| 100747570A | Medicaid | OK | |
| 200210930A | Medicaid | OK |
| Entity Name | Dhhs Phs Naihs Crownpoint Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
| Entity Name | Warm Springs Health And Wellness Dhhs Ihs Warm Springs Service Unit |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417084708 PECOS PAC ID: 2668490970 Enrollment ID: O20051104000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Janet Lee Gorham, APRN-CNP Po Box 6210, Farmington, NM 87499-6210 Ph: (505) 609-2258 | Janet Lee Gorham, APRN-CNP 120 Llano St, Aztec, NM 87410-2172 Ph: (505) 334-9441 |
Laberta Dempsey, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Llano St, Aztec, NM 87410 Phone: 505-334-3404 Fax: 505-334-3486 | |
Echo Dashawn Favaloro, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6a Road 2930, Aztec, NM 87410 Phone: 505-258-0616 | |
Christen Marie Janney, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Llano St, Aztec, NM 87410 Phone: 505-334-3404 Fax: 505-334-3486 | |
Rebekah Leann French, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Llano St, Aztec, NM 87410 Phone: 505-334-3404 Fax: 505-334-3486 |