Healthcare Provider Details

I. General information

NPI: 1871569509
Provider Name (Legal Business Name): LYNNETTE WRIGHT CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1413 SOPLO RD SE
ALBUQUERQUE NM
87123-4422
US

IV. Provider business mailing address

1413 SOPLO RD SE
ALBUQUERQUE NM
87123-4422
US

V. Phone/Fax

Practice location:
  • Phone: 520-290-5888
  • Fax: 520-290-5551
Mailing address:
  • Phone: 520-290-5888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP7017
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP5911
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCNP00512
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: