Individual
MRS. AMANDA RENEE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2515 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 434-0119
Mailing address
PO BOX 46, SERAFINA, NM 87569-0046
(505) 426-7575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84599
NM
Other
Enumeration date
06/19/2025
Last updated
06/25/2025
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