| Randy Lenhardt, CNP | |
|
125 Chaparrel Blvd Nw, Deming, NM 88030-8629 | |
| (575) 546-4800 | |
| (575) 546-0685 |
| Full Name | Randy Lenhardt |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 125 Chaparrel Blvd Nw, Deming, 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 |
|---|---|---|---|
| 1932192820 | NPI | - | NPPES |
| 92676 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R22744 (New Mexico) | Secondary |
| 363L00000X | Nurse Practitioner | CNP00390 (New Mexico) | Primary |
| Entity Name | Ben Archer Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871528505 PECOS PAC ID: 7517878796 Enrollment ID: O20031120000966 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy Lenhardt, CNP Po Box 370, Hatch, NM 87937-0370 Ph: (575) 267-3280 | Randy Lenhardt, CNP 125 Chaparrel Blvd Nw, Deming, NM 88030-8629 Ph: (575) 546-4800 |
Cheryl Granillo, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Chaparrel Blvd Nw, Deming, NM 88030 Phone: 575-546-4800 Fax: 575-546-0685 | |
Ekaette Ogodo, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 2608, Deming, NM 88031 Phone: 575-546-4800 Fax: 575-546-0685 | |
Gayle Raye Glenn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 N Pearl St, Deming, NM 88030 Phone: 575-517-2725 | |
Nadia L Cano Vazquez, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 E Spruce St Ste 1, Deming, NM 88030 Phone: 575-936-4207 Fax: 575-936-4077 | |
James Kay Saunders, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 W Hickory St, Deming, NM 88030 Phone: 575-546-2174 Fax: 575-544-4821 | |
Pamela Amparano, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Chaparrel Blvd Nw, Deming, NM 88030 Phone: 575-546-4800 Fax: 575-546-5048 | |
Carlos Ariel Vazquez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 S 8th St Ste A, Deming, NM 88030 Phone: 575-936-4350 |