Individual
KRISTINA ELIN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 CALLE DE LA VINA RD, TAOS, NM 87571
(413) 265-6916
(413) 931-3200
Mailing address
400 CALLE DE LA VINA RD, TAOS, NM 87571-4509
(413) 265-6916
(413) 931-3200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP111076
ME
363LF0000X
Family Nurse Practitioner
AP3461
AZ
363LF0000X
Family Nurse Practitioner
Primary
CNP-03370
NM
363LF0000X
Family Nurse Practitioner
RN2285633
MA
Other
Enumeration date
09/25/2009
Last updated
02/11/2019
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