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Individual

JOANNA A.S. BRIGHTWATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
303 SAN MATEO BLVD NE STE 104, ALBUQUERQUE, NM 87108-1382
(505) 808-2870
Mailing address
303 SAN MATEO BLVD NE STE 104, ALBUQUERQUE, NM 87108-1382
(505) 808-2870

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
CNP-02152
NM
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP02152
NM
363LA2200X
Adult Health Nurse Practitioner
RN77315
NM
363LG0600X
Gerontology Nurse Practitioner
CNP-02152
NM

Other

Enumeration date
02/15/2012
Last updated
05/09/2025
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