DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AMANDA PRUE

MEDICARE: AMANDA PRUE
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
1124Q00000XDental HygienistDH5118NM

General Provider Information

NPI Number : 1972468965
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA PRUE
Provider Business Mailing Address
First Line : 538 N PASEO DE ONATE
Second Line :
City : ESPANOLA
State : NM
Zip : 87532-2618
Country : US
Telephone Number : 505-753-7218
Fax Number : 505-747-7396
Provider Business Practice Location Address
First Line : 1235 8TH ST
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4219
Country : US
Telephone Number : 505-425-6788
Fax Number : 505-425-5408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

Similar Medicare Providers

1699380824 — DAVID GUSTAVO PARAJON MD
Practice Location Address:
1235 8TH ST
LAS VEGAS, NM
87701-4219
Practice Phone: 505-425-6788
Practice Fax:
1841247327 — DR. JOSHUA D LEIDERMAN M.D.
Practice Location Address:
1235 8TH ST
LAS VEGAS, NM
87701-4219
Practice Phone: 505-425-6788
Practice Fax: 505-425-5408
1699784462 — MS. ROSALIE DELFINA OBREGON LISW
Practice Location Address:
1235 8TH ST
LAS VEGAS, NM
87701-4219
Practice Phone: 505-425-6788
Practice Fax: 505-425-5408
1225127343 — JOHN SCOTT PA
Practice Location Address:
1235 8TH ST
LAS VEGAS, NM
87701-4219
Practice Phone: 505-425-6788
Practice Fax: 505-425-5408
1477639474 — DANITA TANNER LMSW
Practice Location Address:
1235 EIGHTH ST. , EL CENTRO FAMILY HEALTH LAS VEGAS CLINIC
LAS VEGAS, NM
87701-4219
Practice Phone: 505-425-6788
Practice Fax: 505-425-5408
1851478515 — CARLA ANN CURTIS-KLINGER PA
Practice Location Address:
1235 8TH ST
LAS VEGAS, NM
87701-4219
Practice Phone: 505-425-6788
Practice Fax: 505-425-5408

Directions to “ AMANDA PRUE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.