Healthcare Provider Details

I. General information

NPI: 1114427150
Provider Name (Legal Business Name): BARRY G SCHOOLEY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2018
Last Update Date: 09/12/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4308 CARLISLE BLVD NE STE 210
ALBUQUERQUE NM
87107-4849
US

IV. Provider business mailing address

1 UNIVERSITY OF NEW MEXICO MSC 07 4250
ALBUQUERQUE NM
87131-0001
US

V. Phone/Fax

Practice location:
  • Phone: 505-203-2837
  • Fax:
Mailing address:
  • Phone: 505-252-9399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-03503
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: