Individual
AUDRIANA APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
100 AIRPORT RD, SANTA TERESA, NM 88008
(575) 874-9338
(575) 874-9359
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP126833
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-02940
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252452YRND
MEDICARE
NM
05
—
96479779
—
NM
Enumeration date
11/10/2014
Last updated
08/28/2018
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