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NPI Code Detail

MEDICARE: ALEXANDRIA BRIGHAM

MEDICARE: ALEXANDRIA BRIGHAM
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1245120476
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA BRIGHAM
Provider Business Mailing Address
First Line : 3655 CARLISLE BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-1644
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3655 CARLISLE BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-1644
Country : US
Telephone Number : 505-273-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2025
Last Update Date : 02/18/2026

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Directions to “ ALEXANDRIA BRIGHAM ” Practice Location

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