Individual
MS. ALYSSA MARIE ANASTASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2335
Mailing address
933 BRADBURY DR SE STE 222, ALBUQUERQUE, NM 87106-4374
(505) 272-1320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02819
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0915908
AANP
NM
Enumeration date
10/14/2015
Last updated
01/10/2024
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