Individual
LAUREL WOLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1503 4TH ST NW, ALBUQUERQUE, NM 87102-1420
(505) 331-2666
Mailing address
1503 4TH ST NW, ALBUQUERQUE, NM 87102-1420
(505) 331-2666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP62702
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83052861
—
NM
Enumeration date
03/15/2021
Last updated
10/17/2025
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