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Individual

KAREN ELIZABETH KIRST-MILLSPAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
209 E. ALLEN AYERS RD., ESTANCIA, NM 87016
(505) 384-2711
(505) 384-0240
Mailing address
209 E. ALLEN AYERS ROAD, ESTANCIA, NM 87016
(505) 384-2711
(505) 384-0240

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP10400
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
261QP2400X
TAXONOMIES
NM
Enumeration date
07/17/2015
Last updated
07/17/2015
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