Individual
KERRY DALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC 11 6025, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 272-6503
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R14643
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP00146
NM
Other
Enumeration date
07/30/2006
Last updated
03/22/2017
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