Individual
MRS. KIM JANETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1111 STANFORD DR NE, ALBUQUERQUE, NM 87106-3721
(505) 841-4100
(505) 841-4147
Mailing address
1111 STANFORD DR NE, ALBUQUERQUE, NM 87106-3721
(505) 841-4100
(505) 841-4147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R29238
NM
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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