Individual
PATRICIA M KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7000
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R22257
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93427
—
NM
Enumeration date
01/29/2007
Last updated
07/08/2007
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