Linda Elaine Wylie, CFNP is a
Nurse Practitioner - Family based in Ribera, New Mexico. Linda Elaine Wylie is licensed to practice in New Mexico (license number CNP00413) and her current practice location is
275 New Mexico 3, Ribera, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 421-1113.
NPI number for Linda Elaine Wylie is 1669618484 and her current mailing address is Po Box 158, 538 N. Paseo De Onate, Espanola, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669618484.
Provider's Profile
| Full Name | Linda Elaine Wylie |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 275 New Mexico 3, Ribera, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669618484
- Provider Enumeration Date: 12/29/2008
- Last Update Date: 07/05/2013
Medical Identifiers
Medical identifiers for Linda Elaine Wylie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669618484 | NPI | - | NPPES |
| NM400316 | Other | NM | MEDICARE PTAN |
| 44256779 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | CNP00413 (New Mexico) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R23726 (New Mexico) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Linda Elaine Wylie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Linda Elaine Wylie, CFNP
Po Box 158, 538 N. Paseo De Onate,
Espanola, NM 87532-0158
Ph: (505) 753-7218 | Linda Elaine Wylie, CFNP
275 New Mexico 3,
Ribera, NM 87560
Ph: (575) 421-1113 |
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