Provider Demographics
NPI:1740201987
Name:DRUMMOND, ANALISSA WATKINS (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANALISSA
Middle Name:WATKINS
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:DEPARTMENT OF PEDIATRICS MSC10 5590
Mailing Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-4511
Mailing Address - Fax:505-272-6845
Practice Address - Street 1:2211 LOMAS BLVD NE FL 3
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2745
Practice Address - Country:US
Practice Address - Phone:505-272-2345
Practice Address - Fax:505-272-6823
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMPA2004-00542080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology