Individual
MRS. KRISTIN BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, MSN, RN
Contact information
Practice address
2200 W 21ST ST, CLOVIS, NM 88101-2011
(575) 769-7577
Mailing address
2200 W 21ST ST, CLOVIS, NM 88101-2011
(575) 769-7577
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
R65541
NM
163WE0003X
Emergency Registered Nurse
R65541
NM
363LF0000X
Family Nurse Practitioner
Primary
63137
NM
Other
Enumeration date
02/23/2021
Last updated
03/15/2021
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