Individual
LISA CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
(505) 443-8314
Mailing address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
(505) 443-8314
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02501
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83671757
—
NM
Enumeration date
09/05/2014
Last updated
02/18/2025
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