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Individual

MS. AMANDA D LUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN SFA

Contact information

Practice address
1390 E 20TH ST, FARMINGTON, NM 87401-9037
(505) 599-8762
(505) 599-8796
Mailing address
1390 E 20TH ST, FARMINGTON, NM 87401-9037
(505) 599-8762
(505) 599-8796

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R52751
NM
163WX0800X
Orthopedic Registered Nurse
R52751
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00NM006H20
BCBS
NM
01
10035068
LOVELACE
NM
05
47522
NM
01
R52751
NEW MEXICO BOARD OF NURSI
NM
Enumeration date
08/23/2007
Last updated
03/13/2014
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