Individual provider · Type 1 NPI
Amanda Deatherage, APRN-CNP
Family Nurse Practitioner · Lovington, NM
NPI number
1902551005
Active
Practice location
1600 W Avenue I
Lovington, NM 88260-5002
Fax (806) 243-6233
Mailing address
901 W Wildy St
Roswell, NM 88203-3717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1070110 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | 67588 (NM) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1902551005
Amanda Deatherage, APRN-CNP's National Provider Identifier is 1902551005, issued on Feb 16, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lovington, NM. The record was last updated on May 26, 2026.