Provider Demographics
NPI:1619016656
Name:HARRIGAN, JULIE ANN WAHLRAB (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE ANN
Middle Name:WAHLRAB
Last Name:HARRIGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:HARRIGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:10043 LOS CANSADOS RD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-1919
Mailing Address - Country:US
Mailing Address - Phone:505-463-9138
Mailing Address - Fax:
Practice Address - Street 1:10043 LOS CANSADOS RD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-1919
Practice Address - Country:US
Practice Address - Phone:505-463-9138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2009-0085207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine