Provider Demographics
NPI:1881572634
Name:HARNEY, SUTAPA (RN-BSN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SUTAPA
Middle Name:
Last Name:HARNEY
Suffix:
Gender:F
Credentials:RN-BSN, FNP-BC
Other - Prefix:
Other - First Name:SUTAPA
Other - Middle Name:
Other - Last Name:BANERJEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11220 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-2844
Mailing Address - Country:US
Mailing Address - Phone:907-687-3966
Mailing Address - Fax:
Practice Address - Street 1:12350 PASEO NUEVO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-6135
Practice Address - Country:US
Practice Address - Phone:915-225-4470
Practice Address - Fax:915-533-8055
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1207708363LF0000X
NM85182363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily