Maloney, Andrea E

Maloney, Andrea E is an sole proprietor health care provider with primary practice located at 7103 4Th St Nw Ste C , Los Ranchos NM 87107-6675. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Maloney, Andrea E can be contacted via phone (505) 433-3994.

Contact Information

Primary practice address
7103 4Th St Nw Ste C Los Ranchos NM 87107-6675
Phone: (505) 433-3994
Fax: (505) 433-2748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP03464 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-03464 New Mexico

Profile Details

NPI number 1215443130
LBN Legal business name Maloney, Andrea E
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2017
Last updated Jun 16th, 2024 - about 5 months 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 1215443130 NPPES
New Mexico MEDICAID 68271077

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