Individual
LINDA JEAN HALVORSON-KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11601 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2660
(505) 814-6926
(505) 237-8634
Mailing address
8315 CHERRY HILLS DR NE, ALBUQUERQUE, NM 87111-1077
(505) 400-1045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R43414
NM
363LF0000X
Family Nurse Practitioner
R43414
NM
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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