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Individual

MS. SARAH CASSANDRA HEREDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
3901 GEORGIA STREET, SUITE C-1, ALBUQUERQUE, NM 87110
(505) 515-3982
(505) 792-6060
Mailing address
1350 JACKIE ROAD SE, SUITE 104, RIO RANCHO, NM 87124
(505) 515-3982
(505) 792-6060

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
85092
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85092
LICENSURE
NM
Enumeration date
09/15/2020
Last updated
12/30/2025
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