Healthcare Provider Details

I. General information

NPI: 1063409670
Provider Name (Legal Business Name): BARBARA ANNE WRIGHT CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13701 ENCANTADO RD NE
ALBUQUERQUE NM
87123-2275
US

IV. Provider business mailing address

3093 ASHKIRK LOOP SE
RIO RANCHO NM
87124-3610
US

V. Phone/Fax

Practice location:
  • Phone: 505-237-8737
  • Fax:
Mailing address:
  • Phone: 505-821-3461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR28151
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: