person
Lisa Anne Ethridge
Family Nurse Practitioner in Albuquerque, New Mexico
NPI 1467005140

Lisa Anne Ethridge is a Family Nurse Practitioner based in Atlanta, NM and is specialized in Family. Lisa Anne Ethridge practices in Albuquerque, NM. The NPI Number for Lisa Anne Ethridge is 1467005140 and holds a License No. 57020 (New Mexico).

The current practice location address for Lisa Anne Ethridge is 1625 Rio Bravo Blvd Sw Ste 36, Albuquerque, NM and can be reached out via phone at 505-777-3004.

Location: 1625 Rio Bravo Blvd Sw Ste 36, Albuquerque, NM, 30374-0018
person
Provider Profile Details
NPI Number
1467005140
Provider Name
Lisa Anne Ethridge
Credential
Provider Entity Type
Individual
Gender
Female
Address
1625 Rio Bravo Blvd Sw Ste 36, Albuquerque, NM, 30374-0018
Phone Number
505-777-3004
Fax Number
Provider Enumeration Date
07/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1625 Rio Bravo Blvd Sw Ste 36
City
State
Zip
87105-6060
Phone Number
505-777-3004
Fax Number
person
Provider Business Mailing Address Details
Address
1625 Rio Bravo Blvd Sw Ste 36
City
State
Zip
87105-6060
Phone Number
505-777-3004
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
57020 (New Mexico)
Definition
Definition to come...
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