Benavidez, Andrea

Benavidez, Andrea is an individual health care provider with primary practice located at 8417 Washington Pl Ne Ste A , Albuquerque NM 87113-1720. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Benavidez, Andrea can be contacted via phone (505) 273-9453.

Contact Information

Primary practice address
8417 Washington Pl Ne Ste A Albuquerque NM 87113-1720
Phone: (505) 273-9453
Fax: (505) 503-1619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 53299 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53299 New Mexico

Profile Details

NPI number 1154807725
LBN Legal business name Benavidez, Andrea
Credentials PMHNP-BC, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2018
Last updated Oct 5th, 2023 - about last year

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 1154807725 NPPES
New Mexico MEDICAID 53801555

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