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Organization
MONOGRAM HEALTH PROFESSIONAL SERVICES OF NEW MEXICO LLC
Active
Organization
MONOGRAM HEALTH PROFESSIONAL SERVICES OF NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN VERNER (GENERAL COUNSEL AND SECRETARY)
(615) 994-1889
Entity
Organization
Contact information
Practice address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(615) 673-4455
Mailing address
5410 MARYLAND WAY STE 400, BRENTWOOD, TN 37027-8087
(615) 465-8684
(629) 240-6003
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
174400000X
Specialist
—
—
1835C0206X
Cardiology Pharmacist
—
—
207Q00000X
Family Medicine Physician
—
—
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/17/2023
Last updated
01/29/2025
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