Individual
KIMBERLEY MAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 744-1327
Mailing address
7644 WOLF CREEK DR, EL PASO, TX 79911-3135
(225) 284-5268
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
80235
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/25/2021
Last updated
08/20/2024
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