Healthcare Provider Details

I. General information

NPI: 1265865265
Provider Name (Legal Business Name): CAROLINE ANNE BARRETT CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLINE ANNE WYMA-TSCHOFF

II. Dates (important events)

Enumeration Date: 08/13/2013
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W LAS CRUCES AVE
LAS CRUCES NM
88005-1804
US

IV. Provider business mailing address

1338 PARK DR
LAS CRUCES NM
88005-2046
US

V. Phone/Fax

Practice location:
  • Phone: 575-288-9994
  • Fax: 575-525-3703
Mailing address:
  • Phone: 360-720-4374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-02330
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: