Individual
KEIRSTIN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 TOLEDO AVE, MORIARTY, NM 87035-5520
(505) 542-9795
Mailing address
5 TOLEDO AVE, MORIARTY, NM 87035-5520
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
72715
NM
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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