Individual
KRISTINA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8360
Mailing address
500 WALTER ST NE STE 308, ALBUQUERQUE, NM 87102-2562
(505) 727-8360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
116684
OK
363L00000X
Nurse Practitioner
Primary
57292
NM
Other
Enumeration date
06/22/2015
Last updated
09/12/2019
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