Organization
MORNING STAR MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY V RIVERA CNP (NURSE PRACTITIONER/OWNER)
(505) 463-1017
Entity
Organization
Contact information
Practice address
10416 MORNING STAR DR NE, ALBUQUERQUE, NM 87111-7539
(505) 463-1017
Mailing address
PO BOX 90644, ALBUQUERQUE, NM 87199-0644
(505) 463-1017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
12/02/2025
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