Organization
CORRECTIONS CORP. OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN ELIZABETH KIRST-MILLSPAUGH RN,C.,APN (ADULT NURSE PRACTITIONER)
(505) 466-4174
Entity
Organization
Contact information
Practice address
209 EAST ALLEN AYERS, ESTANCIA, NM 87016-0837
(505) 384-2711
(505) 384-0240
Mailing address
10 BURTON HILLS BLVD, NASHVILLE, TN 37215-6105
(505) 384-2711
(505) 384-0240
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
R60905
NM
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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