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Individual

KATHRYN I FEARNSIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
3301 COORS BLVD NW, ALBUQUERQUE, NM 87120-1292
(505) 652-4002
Mailing address
1113 BRYN MAWR DR NE, ALBUQUERQUE, NM 87106-2003
(505) 331-9184

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN-69482
NM
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN-69482
NM

Other

Enumeration date
01/28/2026
Last updated
01/28/2026
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