Individual
PISETH KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 ALAMEDA BLVD NW STE C, ALBUQUERQUE, NM 87114-1953
(505) 346-3704
(505) 212-0859
Mailing address
1111 ALAMEDA BLVD NW STE C, ALBUQUERQUE, NM 87114-1953
(505) 346-3704
(505) 387-3937
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54151
NM
Other
Enumeration date
01/25/2012
Last updated
03/23/2024
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