Individual
MRS. ANDREA YVONNE SUTPHIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R. N.
Contact information
Practice address
100 JOHN DANTIS RD SW, ALBUQUERQUE, NM 87151-0100
(505) 839-8837
(505) 839-8989
Mailing address
908 BLACKBIRD DR SW, ALBUQUERQUE, NM 87121-9013
(505) 242-2350
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R14245
NM
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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