Individual
AMANDA R CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
838 W DIDIER AVE, BELEN, NM 87002-3160
(505) 525-5594
Mailing address
838 W DIDIER AVE, BELEN, NM 87002-3160
(505) 525-5594
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
56655
NM
Other
Enumeration date
08/03/2023
Last updated
11/14/2024
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