Individual
LAURA WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MEDICAL ARTS AVE NE # 4, BUILDING 4, SUITE A, UNM SENIOR HEALTH, ALBUQUERQUE, NM 87102-2706
(505) 272-1754
(505) 325-4594
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2007-0038
NM
Other
Enumeration date
03/24/2008
Last updated
02/25/2026
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