Healthcare Provider Details

I. General information

NPI: 1922339589
Provider Name (Legal Business Name): ALLISON HAGE WEST FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2010
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 COLLEGE AVE NE
RIO RANCHO NM
87144-2103
US

IV. Provider business mailing address

2600 COLLEGE AVE NE
RIO RANCHO NM
87144-2103
US

V. Phone/Fax

Practice location:
  • Phone: 505-994-5050
  • Fax: 505-272-7882
Mailing address:
  • Phone: 505-994-5050
  • Fax: 505-272-7882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP9673
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP9673
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number58455
License Number StateNM
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number58455
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: