Individual
ALISH MCBRIDE CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-3167
(443) 926-6537
Mailing address
713 INDIANA ST SE, ALBUQUERQUE, NM 87108-3812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57322
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57322
APRN-CNP
NM
Enumeration date
01/30/2023
Last updated
01/30/2023
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