Individual
KRYSTLE D APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-2883
(505) 272-1178
Mailing address
1409 COPPER AVE NE, ALBUQUERQUE, NM 87106-4602
(505) 272-2883
(505) 272-1178
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-01676
NM
363L00000X
Nurse Practitioner
GP-00546
NM
Other
Enumeration date
08/23/2010
Last updated
12/19/2024
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