Individual
BRYAN A KRUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.N.P.
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 856-6320
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 856-6320
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP00804
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R37050
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32638221
—
NM
Enumeration date
09/20/2007
Last updated
04/27/2023
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