Provider Demographics
NPI:1134914500
Name:WARD, EIRIN (FNP-BC)
Entity type:Individual
Prefix:
First Name:EIRIN
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22355 HIGHWAY 184
Mailing Address - Street 2:
Mailing Address - City:LEWIS
Mailing Address - State:CO
Mailing Address - Zip Code:81327-9608
Mailing Address - Country:US
Mailing Address - Phone:970-749-2032
Mailing Address - Fax:
Practice Address - Street 1:2539 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-8720
Practice Address - Country:US
Practice Address - Phone:575-446-5940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM81788363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily