Individual
AMANDA RENEE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPI
Contact information
Practice address
1400 BARBARA LOOP SE, RIO RANCHO, NM 87124-1088
(505) 414-6449
Mailing address
8416 HILTON AVE NE APT 9B, ALBUQUERQUE, NM 87111-3134
(505) 280-8063
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
68222
NM
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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