Dr. Amanda Roach Yaney, MD
Family Medicine in Albuquerque, NM. Individual provider (NPI-1).
NPI number1164086633
StatusActive
Last updated in NPPESMay 6, 2024
Details
- NPI
- 1164086633
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amanda Roach Yaney
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2019
- Certification date
- Apr 25, 2024
- Last updated
- May 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD2022-1203 | NM | Yes |
Other names
- Amanda Danielle Roach (Former Name)
Practice location
6100 Pan American Freeway Ne Ste 200Family Medicine
Albuquerque, NM 87109-3401
Phone 505-823-8282 · Fax 505-823-8275
Mailing address
Po Box 26666Phs Provider Enrollment
Albuquerque, NM 87125-6666
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