Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
SAMUEL HARRIS DNP, FNP-C
NPI 1366278269
Nurse Practitioner - Family in Albuquerque, NM
Active since September 09, 2024
About Samuel Harris Dnp, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL HARRIS DNP, FNP-C (NPI 1366278269) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (90677) and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1366278269
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL HARRISCredential: DNP, FNP-C
Location Address11008 DOUBLE EAGLE NEAlbuquerque, NM 87111-6559
Mailing Address11008 Double Eagle NeAlbuquerque, NM 87111-6559 · (505) 440-5498
Phone(505) 440-5498
Sole ProprietorYes
Enumeration DateSeptember 9, 2024
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1366278269 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 90677
11008 DOUBLE EAGLE NE, Albuquerque, NM 87111
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366278269, enumerated as an "individual" on September 09, 2024.
The provider is located at 11008 DOUBLE EAGLE NE ALBUQUERQUE, NM 87111 and the phone number is (505) 440-5498.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
