ANNETTE J LICHT RN NPI 1487636973

NPI Information

NPI: 1487636973
Provider Name: ANNETTE J LICHT, RN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
2600 MARBLE NE
ALBUQUERQUE, NM
ZIP 87131
Phone: (505) 272-3602
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Annette J Licht, RN is a psychiatric/mental health and adult registered nurse in Albuquerque, NM. Annette J Licht, RN NPI is 1487636973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2600 MARBLE NE
ALBUQUERQUE, NM
ZIP 87131-001
Phone: (505) 272-3602

The enumeration date for this NPI number is 11/18/2005 and was last updated on 9/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	R44145	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R44145	OTHER	NEW MEXICO	REGISTERED NURSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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