Healthcare Provider Details

I. General information

NPI: 1841227949
Provider Name (Legal Business Name): BARBARA MUESSER THORPE CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 ENCINO PL NE SUITE D5
ALBUQUERQUE NM
87102-2612
US

IV. Provider business mailing address

801 ENCINO PL NE SUITE D5
ALBUQUERQUE NM
87102-2612
US

V. Phone/Fax

Practice location:
  • Phone: 505-242-5353
  • Fax: 505-242-9788
Mailing address:
  • Phone: 505-242-5353
  • Fax: 505-242-9788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberP26077
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: