AUDRIANA APODACA CPNP - NPI 1780080358 - Nurse Practitioner in Santa Teresa, NM

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

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About Audriana Apodaca Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDRIANA APODACA CPNP (NPI 1780080358) is an individual pediatrics provider in Santa Teresa, New Mexico, licensed in New Mexico (CNP-02940) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1780080358

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameAUDRIANA APODACACredential: CPNP

Location Address100 AIRPORT RDSanta Teresa, NM 88008

Mailing Address385 Calle De Alegra, Bldg. ALas Cruces, NM 88005-3423 · (575) 526-1105 · Fax (575) 524-4266

Phone(575) 874-9338

Fax(575) 874-9359

Sole ProprietorNo

Enumeration DateNovember 10, 2014

Last NPPES UpdateAugust 28, 20182 updates tracked since enumeration

✔ NPI 1780080358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in NM · CNP-02940✔ Licensed in TX · AP126833

100 AIRPORT RD, Santa Teresa, NM 88008

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Other Identifiers 2

Other252452YRNDNM · Medicare

Medicaid96479779NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›