IndividualActive
Derek Sandoval
NPI 1740745249 · Acute Care Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1740745249
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 54702 (NM)
Practice location
1100 Central Ave Se
Albuquerque, NM 87106-4934
Phone: (505) 724-6125
Fax: (505) 724-6125
Mailing address
1100 Central Ave Se
Albuquerque, NM 87106-4934
Registry dates
- Enumerated
- 2019-02-08
- Last updated
- 2019-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.