Healthcare Provider Details

I. General information

NPI: 1982405122
Provider Name (Legal Business Name): DENISE WRIGHT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 HARPER DR NE STE 410
ALBUQUERQUE NM
87109-3585
US

IV. Provider business mailing address

6800 CALLE SANTIAGO NE
ALBUQUERQUE NM
87113-1217
US

V. Phone/Fax

Practice location:
  • Phone: 505-843-7813
  • Fax:
Mailing address:
  • Phone: 505-615-0010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number83294
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: