Individual provider · NPI-1

Avelina Bardwell, MD

Internal Medicine · Santa Fe, NM

NPI number1366469322
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1366469322
Entity type
Individual (NPI-1)
Name
Avelina Bardwell
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 16, 2006
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine82161NMYes

Practice location

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Phone 505-913-6130

Mailing address

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Phone 505-913-6130

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