Individual
AMANDA RENEE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2301 N MLK BLVD, CLOVIS, NM 88101-9401
(575) 762-4455
Mailing address
2301 N MLK BLVD, CLOVIS, NM 88101-9401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03488
NM
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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