MEDICARE: LYNNETTE WRIGHT CNP

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	363LA2200X	Adult Health Nurse Practitioner	AP7017	AZ
2	363LG0600X	Gerontology Nurse Practitioner	AP5911	AZ
3	363LA2200X	Adult Health Nurse Practitioner	CNP00512	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871569509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNETTE WRIGHT CNP

Provider Business Mailing Address
First Line	:	1413 SOPLO RD SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-4422
Country	:	US
Telephone Number	:	520-290-5888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1413 SOPLO RD SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-4422
Country	:	US
Telephone Number	:	520-290-5888
Fax Number	:	520-290-5551

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	08/27/2025

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Directions to “ LYNNETTE WRIGHT CNP” Practice Location

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