Individual
MRS. WREN T KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/NP
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-1745
(505) 272-8699
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-1745
(505) 272-4545
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
59810
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3349537
—
TN
Enumeration date
12/23/2005
Last updated
03/14/2012
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