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Contact Information

AMY PENDERGRAFT, FNP
1691 GALISTEO ST STE C
SANTA FE, NM87505-4781
 Phone: 505-983-5631
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AMY PENDERGRAFT · (Female)

NPI Number 1720436645
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 06/01/2016
Last updated 04/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # 81358
  • NM License # 879769
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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