Individual
KARA E STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 512-1029
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
(505) 265-7045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-83725
NM
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP-02908
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23454318
—
NM
Enumeration date
07/22/2010
Last updated
10/06/2023
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