Individual provider · Type 1 NPI

Lisa Anne Ethridge

Family Nurse Practitioner · Albuquerque, NM

NPI number 1467005140 Active

Practice location

1625 Rio Bravo Blvd SW Ste 36
Albuquerque, NM 87105-6060

Mailing address

PO Box 740018
Atlanta, GA 30374-0018

Other practice locations

  • 328 Main St NE, Los Lunas, NM 87031-7454 · (505) 916-5446

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X57020 (NM)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1467005140

Lisa Anne Ethridge's National Provider Identifier is 1467005140, issued on Jul 22, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albuquerque, NM. The record was last updated on Dec 28, 2022.