MS. JOANN MCCULLAR VANDERGRIFF MSN FNP NPI 1891772885

NPI Information

  • NPI: 1891772885
  • Provider Name: MS. JOANN MCCULLAR VANDERGRIFF, MSN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2430 W PIERCE ST
    CARLSBAD, NM
    ZIP 88220
  • Phone: (505) 887-4100

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NPI Details

MS. Joann Mccullar Vandergriff, MSN, FNP is a family nurse practitioner in Carlsbad, NM. MS. Joann Mccullar Vandergriff, MSN, FNP NPI is 1891772885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2430 W PIERCE ST
CARLSBAD, NM
ZIP 88220-553
Phone: (505) 887-4100

The enumeration date for this NPI number is 12/29/2005 and was last updated on 7/28/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR35927NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R01504MEDICARE UPINNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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