MEDICARE: MRS. BARBARA ANNE WRIGHT CFNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R28151	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063409670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA ANNE WRIGHT CFNP

Provider Business Mailing Address
First Line	:	3093 ASHKIRK LOOP SE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-3610
Country	:	US
Telephone Number	:	505-821-3461
Fax Number	:

Provider Business Practice Location Address
First Line	:	13701 ENCANTADO RD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-2275
Country	:	US
Telephone Number	:	505-237-8737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	07/09/2007

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