Individual
MIKAYLA STORM ISASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11501 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2796
(505) 814-1333
Mailing address
8109 WESTOVER PL NW, ALBUQUERQUE, NM 87120-5527
(505) 250-8494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00000
NM
Other
Enumeration date
05/31/2023
Last updated
05/15/2024
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