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NPI Code Detail

MEDICARE: AMANDA D STURGEON PMHNP-BC

MEDICARE:   AMANDA D STURGEON  PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerC-APN.0103846-C-NPCO
2363LP0808XPsychiatric/Mental Health Nurse Practitioner60732NM

General Provider Information

NPI Number : 1730700923
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA D STURGEON PMHNP-BC
Provider Business Mailing Address
First Line : 208 E 18TH ST
Second Line :
City : CIMARRON
State : NM
Zip : 87714-5002
Country : US
Telephone Number : 575-300-5729
Fax Number :
Provider Business Practice Location Address
First Line : 411 1/2 S 3RD STREET
Second Line :
City : RATON
State : NM
Zip : 87740
Country : US
Telephone Number : 575-300-5729
Fax Number : 575-215-5003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2020
Last Update Date : 03/21/2026

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Directions to “ AMANDA D STURGEON PMHNP-BC” Practice Location

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