Healthcare Provider Details

I. General information

NPI: 1407415235
Provider Name (Legal Business Name): BRITTANY LEIGH DOW CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY LEIGH CAPPEL

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 COAL AVE SE
ALBUQUERQUE NM
87106-5205
US

IV. Provider business mailing address

6320 RIVERSIDE PLAZA LN NW STE B
ALBUQUERQUE NM
87120-1710
US

V. Phone/Fax

Practice location:
  • Phone: 505-843-6168
  • Fax: 505-247-9743
Mailing address:
  • Phone: 505-843-6168
  • Fax: 505-247-9743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number56360
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number56360
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number56360
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: