Provider Demographics
NPI:1316467160
Name:ATWAL, PARMEET MS (NP)
Entity type:Individual
Prefix:MR
First Name:PARMEET
Middle Name:MS
Last Name:ATWAL
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:PO BOX 6880
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87502-6880
Mailing Address - Country:US
Mailing Address - Phone:410-296-7190
Mailing Address - Fax:443-991-7768
Practice Address - Street 1:701 SAN MATEO BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1434
Practice Address - Country:US
Practice Address - Phone:505-265-9511
Practice Address - Fax:505-268-4350
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2024-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR209965363LF0000X
COC-APN.0101185-C-NP363LF0000X
NM60850363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM97534391Medicaid
CO9000222659Medicaid