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Individual

MS. KIMBERLY MARIE STREU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
1723 TRUMAN ST NE, ALBUQUERQUE, NM 87110-5853
(505) 414-2150
Mailing address
1723 TRUMAN ST NE, ALBUQUERQUE, NM 87110-5853
(505) 414-2150

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1702-APNP
WI
363LF0000X
Family Nurse Practitioner
Primary
RN72201
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
170200000000
BLUE CROSS
WI
05
43942600
WI
Enumeration date
03/16/2006
Last updated
02/25/2013
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