Individual
MS. HEATHER MARIE PINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4401 MASTHEAD ST NE STE 120, ALBUQUERQUE, NM 87109-4497
(505) 407-2074
Mailing address
4401 MASTHEAD ST NE STE 120, ALBUQUERQUE, NM 87109-4497
(505) 407-2074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
55619
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55619
BOARD OF NURSING
NM
01
—
CS00227074
PHARMACY BOARD
NM
01
—
F03190109
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
01
—
RN-76561
BOARD OF NURSING
NM
Enumeration date
04/06/2019
Last updated
07/25/2023
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