Healthcare Provider Details

I. General information

NPI: 1962356170
Provider Name (Legal Business Name): DR. ALLISON E BURNETT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE
ALBUQUERQUE NM
87106-2719
US

IV. Provider business mailing address

1032 QUINCY ST SE
ALBUQUERQUE NM
87108-3512
US

V. Phone/Fax

Practice location:
  • Phone: 505-306-8987
  • Fax:
Mailing address:
  • Phone: 505-228-1598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number00006619
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: