Individual provider · Type 1 NPI
Derek Sandoval
Acute Care Nurse Practitioner · Albuquerque, NM
NPI number
1740745249
Active
Practice location
1100 Central Ave SE
Albuquerque, NM 87106-4934
Fax (505) 724-6125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 54702 (NM) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1740745249
Derek Sandoval's National Provider Identifier is 1740745249, issued on Feb 8, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Albuquerque, NM. The record was last updated on Feb 8, 2019.