LAURA WYLIE NPI 1528230117

NPI Information

NPI: 1528230117
Provider Name: LAURA WYLIE
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: UNIVERSITY OF NEW MEXICO MEDICAL GROUP

PECOS Registration: Yes

Address:
1101 MEDICAL ARTS AVE NE # 4
BUILDING 4, SUITE A, UNM SENIOR HEALTH
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 272-1754
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Laura Wylie is a medical physician assistant in Albuquerque, NM with 24 years of experience. Laura Wylie NPI is 1528230117. 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:

1101 MEDICAL ARTS AVE NE # 4
BUILDING 4, SUITE A, UNM SENIOR HEALTH
ALBUQUERQUE, NM
ZIP 87102-706
Phone: (505) 272-1754
Fax: (505) 325-4594

The NPI 1528230117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2008 and was last updated on 3/22/2017.

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	363AM0700X	Physician Assistant	Medical	PA2007-0038	NEW MEXICO	Yes

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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