Individual
ANDREA D VANDERWOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3630 LAS ESTANCIAS DR SW, ALBUQUERQUE, NM 87121-5504
(505) 462-7777
(505) 462-7726
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
74440
NM
Other
Enumeration date
06/30/2023
Last updated
07/08/2024
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