Individual
CONSUELO J APODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
500 WALTER ST NE STE 104, ALBUQUERQUE, NM 87102-2541
(505) 727-4430
Mailing address
500 WALTER ST NE STE 104, ALBUQUERQUE, NM 87102-2541
(505) 727-4430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69713
NM
363LF0000X
Family Nurse Practitioner
R67069
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69713
NM LICENSE
NM
Enumeration date
08/31/2022
Last updated
12/12/2022
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