Individual
LYSSA M. FRADELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4730 BECKNER RD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8313
Mailing address
800 BRADBURY DR SE STE 116, STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76211
NM
Other
Enumeration date
10/10/2023
Last updated
01/06/2026
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