Individual
AMANDA M. CRIM PINHEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3201 S MAIN ST STE C, LAS CRUCES, NM 88005-3797
(575) 522-8378
Mailing address
4112 MEADOW SAGE PL, LAS CRUCES, NM 88011-4382
(417) 671-2066
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
G-2081
NM
363A00000X
Physician Assistant
Primary
2009001274
MO
363A00000X
Physician Assistant
PA2023-0313
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477792869
—
MO
01
—
431560263
TRICARE WEST
—
01
—
602630075
MEDICARE
MO
01
—
P00689756
RAILROAD MEDICARE
—
Enumeration date
02/10/2009
Last updated
06/16/2026
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