Amber Wilson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Moriarty, NM

NPI 1568310274 · NPPES record last updated Mar 18, 2026

Key facts

NPI
1568310274
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1209 US Route 66 W Ste C
Moriarty, NM 87035-1039
Phone
(505) 226-1566
Fax
(505) 521-5191
NPI assigned
Mar 18, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1209 US Route 66 W Ste C
Moriarty, NM 87035-1039

Mailing address

15 Woodpecker LN
Moriarty, NM 87035-5392
Phone (505) 226-1460

Other providers in Moriarty, NM

All providers in Moriarty, NM · Student in an Organized Health Care Education/Training Program in New Mexico

Sources for this page

Verify at the official NPI Registry.