Individual
MRS. KIMBERLY ANN JOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2010 INDUSTRIAL PARK RD, EL CENTRO FAMILYHEALTH - RIO ARRIBA HEALTH COMMONS, ESPANOLA, NM 87532-3600
(505) 753-7395
(505) 753-8373
Mailing address
PO BOX 158, 538 N. PASEO DE ONATE, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 747-7396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
110498
NE
363LF0000X
Family Nurse Practitioner
Primary
CNP-02255
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025024300
—
NE
05
—
10025024400
—
NE
Enumeration date
02/24/2006
Last updated
10/14/2013
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