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Individual

MS. KATHERINE REBECCA MCCREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APN

Contact information

Practice address
407 S SCHWARTZ AVE, SUITE 102, FARMINGTON, NM 87401-5925
(505) 609-6700
Mailing address
407 S SCHWARTZ AVE, SUITE 102, FARMINGTON, NM 87401-5925
(505) 609-6700

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN150078
CO
363LP0200X
Pediatric Nurse Practitioner
APN 0990961-NP
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 02386
NM

Other

Enumeration date
11/26/2013
Last updated
03/25/2022
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