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Search › New Mexico › 363A00000X

Jimmy Andazola, PA-C

NPI 1396148326 · on the registry since 2014

Practice

Address
10571 Vista Bella Pl Nw
Albuquerque, NM 87114
Phone
(505) 259-1133

Additional practice sites

  • 890 W Faris Rd Ste 580, Greenville, SC
  • 316 Calhoun St, Charleston, SC
  • 1122 Ne 13th St, Oklahoma City, OK

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
363AM0700X
363A00000X
363A00000X
363AM0700X
Licence states on file
OK, SC, NM, GA, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico