Individual
KIMBERLEY DURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, RN
Contact information
Practice address
2300 GRANDE BLVD SE, RIO RANCHO, NM 87124-1755
(505) 896-7100
Mailing address
4470 W SUNSET BLVD STE 107, LOS ANGELES, CA 90027-6309
(323) 205-7088
(833) 419-0181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
54476
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209012259
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
54476
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP95021982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209012259
ADVANCED PRACTICE NURSE
IL
Enumeration date
08/14/2014
Last updated
11/17/2022
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