Individual
MRS. EMILY HERRICK KASSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8100 CONSTITUTION PL NE, STE 400, ALBUQUERQUE, NM 87110-7644
(505) 559-6024
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
5008884
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
62644
NM
Other
Enumeration date
09/23/2016
Last updated
03/31/2025
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