Healthcare Provider Details

I. General information

NPI: 1396662060
Provider Name (Legal Business Name): CAROLYN ARREDONDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10600 COORS BYPASS NW
ALBUQUERQUE NM
87114-3930
US

IV. Provider business mailing address

11600 CANDELARIA RD NE APT 2
ALBUQUERQUE NM
87112-1876
US

V. Phone/Fax

Practice location:
  • Phone: 505-922-7386
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAD0788
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: