Individual
KRISTEN M OSTREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM, CFNP
Contact information
Practice address
401 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-2921
(505) 462-7333
(505) 462-2010
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
391
NM
363LF0000X
Family Nurse Practitioner
CNP-01498
NM
367A00000X
Advanced Practice Midwife
Primary
391
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K2756
—
NM
05
—
25956744
—
NM
Enumeration date
10/03/2006
Last updated
04/05/2016
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