Individual
MS. AMBER VANESSA DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1100 CENTRAL AVE, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
(505) 724-6125
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125, NM 87125-6666
(505) 724-6124
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78483
NM
Other
Enumeration date
09/18/2024
Last updated
03/12/2025
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