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Individual

MR. ADRIAN ALEXIS ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, NP-C

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
3003 ADAMS ST NE APT M60, ALBUQUERQUE, NM 87110-8013
(708) 606-8523

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
67058
NM
363LC0200X
Critical Care Medicine Nurse Practitioner
67058
NM
363LF0000X
Family Nurse Practitioner
0997231
CO
363LF0000X
Family Nurse Practitioner
67058
NM

Other

Enumeration date
12/28/2021
Last updated
09/24/2025
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