Individual
MRS. KATHRYN D'ANCONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 ALAME LOOP, BELEN, NM 87002-6034
(505) 966-2122
Mailing address
6408 KALGAN RD NE, RIO RANCHO, NM 87144-3522
(610) 585-5209
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-86999
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN-86999
RN LICENSE
NM
Enumeration date
12/07/2018
Last updated
12/07/2018
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