Organization
ENCHANTMENT CONCIERGE FAMILY PRACTICE
Active
Organization
ENCHANTMENT CONCIERGE FAMILY PRACTICE
Active
Other names
Enchantment Concierge Family Practice Krista Gurule CFN-P LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA J GURULE MSN, APRN, NP-C (NP-C OWNER)
(505) 681-5287
Entity
Organization
Contact information
Practice address
6016 KILMER AVE NW, ALBUQUERQUE, NM 87120-1410
(505) 681-5287
Mailing address
6016 KILMER AVE NW, ALBUQUERQUE, NM 87120-1410
(505) 681-5287
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467127845
NPI
—
Enumeration date
09/27/2022
Last updated
09/27/2022
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