MEDICARE: ALISHA BETH LOWDEN CNP

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
1	363L00000X	Nurse Practitioner	CNP-03191	NM

General Provider Information

NPI Number	:	1679969828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA BETH LOWDEN CNP

Provider Business Mailing Address
First Line	:	1815 TRUCHAS PEAK TRL NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-1008
Country	:	US
Telephone Number	:	505-923-6770
Fax Number	:

Provider Business Practice Location Address
First Line	:	6330 RIVERSIDE PLAZA LN NW STE 100
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-2682
Country	:	US
Telephone Number	:	505-322-6687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	09/26/2023

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