Healthcare Provider Details

I. General information

NPI: 1235639634
Provider Name (Legal Business Name): AMY KATHRYN WESTMORELAND FNP-C, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2018
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 HOMESTEAD RD NE BLDG 4
ALBUQUERQUE NM
87110-1437
US

IV. Provider business mailing address

5310 HOMESTEAD RD NE BLDG 4
ALBUQUERQUE NM
87110-1437
US

V. Phone/Fax

Practice location:
  • Phone: 505-256-3648
  • Fax: 505-256-9778
Mailing address:
  • Phone: 505-256-3648
  • Fax: 505-256-9778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-03496
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: