Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | NP366 | ME |
Y | 207R00000X | Internist | R-88-2021 | NM |
Y | 111NI0900X | Internist | R-88-2021 | NM |
NPI | 1093004517 |
---|---|
Provider Name | Dr. Masina Wright |
First Address | Albuquerque, NM 87131-0001 |
Second Address | Albuquerque, NM 87131-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2011 |
Last Update Date | 28/09/2021 |