Individual
ANDREA BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-C
Contact information
Practice address
8417 WASHINGTON PL NE STE A, ALBUQUERQUE, NM 87113-1720
(505) 273-9453
(505) 503-1619
Mailing address
8417 WASHINGTON PL NE STE A, ALBUQUERQUE, NM 87113-1720
(505) 273-9453
(505) 503-1619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53299
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53299
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53801555
—
NM
Enumeration date
07/17/2018
Last updated
10/05/2023
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