Provider Demographics
NPI:1467065532
Name:MORRISH, AMBERLEIGH (FNP-BC)
Entity Type:Individual
Prefix:
First Name:AMBERLEIGH
Middle Name:
Last Name:MORRISH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 ENCINO PL NE
Mailing Address - Street 2:STE 26
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2629
Mailing Address - Country:US
Mailing Address - Phone:505-884-4545
Mailing Address - Fax:505-884-4114
Practice Address - Street 1:2100 GEORGE RD SE # 19012
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-5608
Practice Address - Country:US
Practice Address - Phone:505-272-7815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM61052363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner