Individual
ANNA CATHERINE LEIST CRESWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2211
Mailing address
1712 PRINCETON DR SE, ALBUQUERQUE, NM 87106-3114
(773) 543-6352
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
81248
NM
363LA2200X
Adult Health Nurse Practitioner
81248
NM
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
81248
NM
364SG0600X
Gerontology Clinical Nurse Specialist
81248
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81248
NEW MEXICO BOARD OF NURSING
NM
01
—
CS02325499
NEW MEXICO BOARD OF PHARMACY
NM
Enumeration date
10/08/2024
Last updated
12/17/2024
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