Healthcare Provider Details

I. General information

NPI: 1407786247
Provider Name (Legal Business Name): MAYELANGELA LINARES-NORWOOD AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5123 JUAN TABO BLVD NE
ALBUQUERQUE NM
87111-2672
US

IV. Provider business mailing address

701 PALO DURO DR NE
BERNALILLO NM
87004-5619
US

V. Phone/Fax

Practice location:
  • Phone: 505-577-6540
  • Fax:
Mailing address:
  • Phone: 505-577-6540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number89570
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number72067
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number89570
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: