Healthcare Provider Details

I. General information

NPI: 1699773093
Provider Name (Legal Business Name): ALYSON C HAEGER-NEWE CNM, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2005
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MUNICIPAL WAY
ALBUQUERQUE NM
87109-2980
US

IV. Provider business mailing address

PO BOX 27561 DEPT#31116
ALBUQUERQUE NM
87125-7561
US

V. Phone/Fax

Practice location:
  • Phone: 505-873-4000
  • Fax:
Mailing address:
  • Phone: 505-873-7405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1178
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number819
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8576
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: