Individual
CHRISTINA AMANDA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-7050
Mailing address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-7050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76674
NM
363LA2100X
Acute Care Nurse Practitioner
76674
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76674
NM LICENSE
NM
Enumeration date
11/08/2023
Last updated
03/01/2024
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