Provider Demographics
NPI:1033535141
Name:WASHBURN, ISABEL ANNE (WHNP)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:ANNE
Last Name:WASHBURN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 WELLESLEY DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-1812
Mailing Address - Country:US
Mailing Address - Phone:505-841-4639
Mailing Address - Fax:
Practice Address - Street 1:2400 WELLESLEY DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1812
Practice Address - Country:US
Practice Address - Phone:505-841-4639
Practice Address - Fax:505-841-4153
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY673868-1163W00000X
NMRN-80950163W00000X
NMCNP-02594363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse