Individual
AMANDA CHRISTINE RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
3820 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5831
(505) 933-7799
Mailing address
8524 W GAGE BLVD, BLDG A1 BOX 319, KENNEWICK, WA 99336-8241
(509) 591-0070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-56021
NM
363LG0600X
Gerontology Nurse Practitioner
56021
NM
363LP2300X
Primary Care Nurse Practitioner
56021
NM
Other
Enumeration date
05/07/2019
Last updated
02/18/2020
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