Individual
MS. KIM BRISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4055 MONTGOMERY BLVD NE, STE. B., ALBUQUERQUE, NM 87109-1178
(505) 884-4464
(505) 884-0054
Mailing address
4055 MONTGOMERY BLVD NE, STE. B., ALBUQUERQUE, NM 87109-1178
(505) 884-4464
(505) 884-0054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-71188
NM
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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