Individual
KATHLEEN CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-0271
(505) 272-9843
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-0271
(505) 272-9843
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R26328
NM
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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