person
Kontasha Shamika Wise, ARNP
Nurse Practitioner in Albuquerque, New Mexico
NPI 1679850044

Kontasha Shamika Wise is a Nurse Practitioner based in Albuquerque, NM. Kontasha Shamika Wise practices in Albuquerque, NM and has the professional credentials of ARNP. The NPI Number for Kontasha Shamika Wise is 1679850044 and holds a License No. CNP02817 (New Mexico).

The current practice location address for Kontasha Shamika Wise is 2900 Louisiana Blvd Ne Ste J1, Albuquerque, NM and can be reached out via phone at 505-554-2681 and via fax at 505-213-2657. You can also correspond with Kontasha Shamika Wise through the mailing address at 8226 MENAUL BLVD NE # 144, ALBUQUERQUE, NM - 87110-4614 (mailing address contact number: 505-554-2681).

Location: 2900 Louisiana Blvd Ne Ste J1, Albuquerque, NM, 87110-4614
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Provider Profile Details
NPI Number
1679850044
Provider Name
Kontasha Shamika Wise
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
2900 Louisiana Blvd Ne Ste J1, Albuquerque, NM, 87110-4614
Phone Number
505-554-2681
Fax Number
505-213-2657
Provider Enumeration Date
11/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6929753 05 NM
institution
Provider Business Practice Location Address Details
Address
2900 Louisiana Blvd Ne Ste J1
City
State
Zip
87110-3575
Phone Number
505-554-2681
Fax Number
505-213-2657
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Provider Business Mailing Address Details
Address
2900 Louisiana Blvd Ne Ste J1
City
State
Zip
87110-3575
Phone Number
505-554-2681
Fax Number
505-213-2657
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
17616 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
CNP02817 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP02817 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP02817 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
CNP02817 (New Mexico)
Definition
Definition to come...
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