Individual
USHA PANTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3917 WEST RD, LOS ALAMOS, NM 87544-2275
(505) 662-4201
Mailing address
137 MIRADOR BLVD, WHITE ROCK, NM 87547-3480
(505) 662-4201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
88704
NM
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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