Lundy, Amanda D

Lundy, Amanda D is an individual health care provider with primary practice located at 1390 E 20Th St , Farmington NM 87401-9037. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Orthopedic, Nursing Service Providers / School. Nursing Service Providers / School is her primary health care specialty. Lundy, Amanda D can be contacted via phone (505) 599-8762.

Contact Information

Primary practice address
1390 E 20Th St Farmington NM 87401-9037
Phone: (505) 599-8762
Fax: (505) 599-8796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Orthopedic 163WX0800X R52751 New Mexico
Nursing Service Providers / School 163WS0200X R52751 New Mexico

Profile Details

NPI number 1336332287
LBN Legal business name Lundy, Amanda D
Credentials RN SFA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated Mar 13th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336332287 NPPES
New Mexico MEDICAID 47522
New Mexico Other 10035068
New Mexico Other R52751
New Mexico Other 00NM006H20

Popular Providers