DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LISA ANNE ETHRIDGE

MEDICARE: LISA ANNE ETHRIDGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner57020NM

General Provider Information

NPI Number : 1467005140
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANNE ETHRIDGE
Provider Business Mailing Address
First Line : PO BOX 740018
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0018
Country : US
Telephone Number : 773-759-7550
Fax Number : 312-929-0373
Provider Business Practice Location Address
First Line : 1625 RIO BRAVO BLVD SW STE 36
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87105-6060
Country : US
Telephone Number : 505-777-3004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2019
Last Update Date : 12/28/2022

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:
4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105
Practice Phone: 505-998-1840
Practice Fax: 505-998-1841
1023672565 — JUAN SEBASTIAN SOCHE
Practice Location Address:
1625 RIO BRAVO BLVD SW STE 36
ALBUQUERQUE, NM
87105-6060
Practice Phone: 505-777-3004
Practice Fax: 505-808-4990
1083820120 — DR. WILL KAUFMAN
Practice Location Address:
1625 RIO BRAVO BLVD SW STE 36
ALBUQUERQUE, NM
87105-6060
Practice Phone: 505-777-3004
Practice Fax: 505-808-4990
1346757622 — ANA SALVATIERRA
Practice Location Address:
1625 RIO BRAVO BLVD SW STE 36
ALBUQUERQUE, NM
87105-6060
Practice Phone: 505-777-3004
Practice Fax: 505-808-4990
1609364934 — BELINDA ANN BURDEN FNP
Practice Location Address:
1625 RIO BRAVO BLVD SW STE 36
ALBUQUERQUE, NM
87105-6060
Practice Phone: 505-777-3004
Practice Fax: 505-808-4990
1164206579 — ALYSSA MARIE SWISHER FNP-BC
Practice Location Address:
1625 RIO BRAVO BLVD SW STE 36
ALBUQUERQUE, NM
87105-6060
Practice Phone: 575-359-7375
Practice Fax:

Directions to “ LISA ANNE ETHRIDGE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.