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Contact Information

AMANDA S FENDER, PA-C
1329 GUSDORF RD
TAOS, NM87571
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMANDA S FENDER · (Female)

NPI # 1932899598
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/08/2023
Last updated 06/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # PA.0009156
  • NM License # PA2024-0101
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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