IndividualActive
Brenda Pacheco, PA-C
NPI 1992981609 · Medical Physician Assistant · Acoma, NM
Provider details
- NPI number
- 1992981609
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA2007-0046 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
80 B Veterans Blvd
Acoma, NM 87034
Phone: (505) 552-5300
Fax: (505) 552-5490
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 130
San Fidel, NM 87049-0130
Registry dates
- Enumerated
- 2008-01-11
- Last updated
- 2023-07-14
- Certified
- 2023-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.