NPI

Amanda Clearwater

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
LADAC
Type
Individual
Enumeration date
2016-01-05
Last updated
2025-07-10

Specialties

Licenses

License NM
0178391

Location

Practice location
663 Hampton Canyon Rd
City
Aztec NM
Postal code
87410-1007
Phone
(505) 217-6834

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Aztec, NM. 173 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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