IndividualActive
Amanda Deatherage, APRN-CNP
NPI 1902551005 · Family Nurse Practitioner · Lovington, NM
Provider details
- NPI number
- 1902551005
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-CNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1070110 (TX)
Practice location
1600 W Avenue I
Lovington, NM 88260-5002
Phone: (806) 928-9870
Fax: (806) 243-6233
Mailing address
901 W Wildy St
Roswell, NM 88203-3717
Registry dates
- Enumerated
- 2022-02-16
- Last updated
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.