Individual
KRISTEN L CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3465 MCNUTT RD, SUNLAND PARK, NM 88063-9056
(575) 915-1338
Mailing address
3465 MCNUTT RD, SUNLAND PARK, NM 88063-9056
(575) 915-1338
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
NM
Enumeration date
05/11/2020
Last updated
10/30/2020
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