Individual
KORYN KIESLING MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53742
NM
363LP2300X
Primary Care Nurse Practitioner
Primary
53742
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10728571
—
NM
01
—
1617165
UNKNOWN
CO
Enumeration date
09/01/2014
Last updated
10/10/2025
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