Individual
KERSTI L PASSIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 GOLD AVE SW, ALBUQUERQUE, NM 87102-3283
(505) 715-4610
Mailing address
PO BOX 365, LAS VEGAS, NM 87701-0365
(575) 937-1170
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN-84766
NM
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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