Individual
KATHLEEN JO AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
385 CALLE DE ALEGRA, BLDG. C, LAS CRUCES, NM 88005
(575) 521-7181
(575) 521-7199
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
CNP00054
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468065YRND
MEDICARE
NM
05
—
98245
—
NM
Enumeration date
06/21/2005
Last updated
08/28/2018
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