Individual
AMANDA WOODARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
9B TAYLOR LOOP, SANTA FE, NM 87508-4509
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP-03334
NM
Other
Enumeration date
08/21/2017
Last updated
10/30/2024
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