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Individual

GRACE CHINENYE AMAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 DEPUTY DEAN MIERA DR SW, ALBUQUERQUE, NM 87151-4940
(505) 468-7777
Mailing address
100 DEPUTY DEAN MIERA DR SW, ALBUQUERQUE, NM 87151-1000

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
64715
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP139488
TX

Other

Enumeration date
02/27/2019
Last updated
02/25/2025
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