Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deanna R Clark, CFNP

Individual provider Family Nurse Practitioner · NPI 1477003366

Deanna R Clark, CFNP is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2016, 10 years ago. Practices with Albuquerque Urgent Care Walk in Clinic PC, a 3-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
10
Licensed in
NM
In the registry since
2016
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Practice location Address checks out

4225 Montgomery Blvd NE
Albuquerque, NM 87109-1103
Phone: (505) 366-3635
Fax: (505) 221-5429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP-03049 (NM)

Record details

NPI number1477003366
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedOctober 4, 2016
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Albuquerque Urgent Care Walk In Clinic Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque