Individual
MRS. KIM ANITA HALOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER B
Contact information
Practice address
2311 N MESA, SUITE D, EL PASO, TX 79902
(915) 533-6844
Mailing address
4305 O'KEEFE DR, EL PASO, TX 79902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
583191
TX
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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