Individual
REAGAN KREIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 E 30TH ST, FARMINGTON, NM 87402-8805
(505) 599-8617
(855) 290-2205
Mailing address
4000 CRESTRIDGE DR, FARMINGTON, NM 87401-9310
(505) 402-8234
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
64233
NM
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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