Individual
ELIZABETH MARY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
6801 JEFFERSON ST NE STE 350, ALBUQUERQUE, NM 87109-4361
(505) 847-4100
Mailing address
6801 JEFFERSON ST NE STE 350, ALBUQUERQUE, NM 87109-4361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02462
NM
367A00000X
Advanced Practice Midwife
661
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24080594
—
NM
Enumeration date
08/14/2014
Last updated
12/01/2025
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