OrganizationActive
Beewell Medical Center
NPI 1033706924 · Multi-Specialty Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1033706924
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kontasha Wise, Cnp, Pmhnp-Bc(505) 554-8315
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4201 Carlisle Blvd Ne # C
Albuquerque, NM 87107-4808
Phone: (505) 544-2366
Fax: (505) 581-6988
Approximate (ZIP-level) locationGet directions
Mailing address
8226 Menaul Blvd Ne # 144
Albuquerque, NM 87110-4614
Registry dates
- Enumerated
- 2020-12-25
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.