Apodaca, Audriana

Apodaca, Audriana is an individual health care provider with primary practice located at 100 Airport Rd , Santa Teresa NM 88008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Apodaca, Audriana can be contacted via phone (575) 874-9338.

Contact Information

Primary practice address
100 Airport Rd Santa Teresa NM 88008
Phone: (575) 874-9338
Fax: (575) 874-9359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP126833 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X CNP-02940 New Mexico

Profile Details

NPI number 1780080358
LBN Legal business name Apodaca, Audriana
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2014
Last updated Aug 28th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780080358 NPPES
New Mexico Other 252452YRND MEDICARE
New Mexico MEDICAID 96479779 MEDICARE

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