Individual
KATHRYN WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5981 JEFFERSON ST NE STE A, ALBUQUERQUE, NM 87109-3457
(505) 370-9600
Mailing address
5981 JEFFERSON ST NE STE A, ALBUQUERQUE, NM 87109-3457
(505) 370-9600
(505) 355-0566
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
55280
NM
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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