Individual
KIMBERLY ANN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, CNP
Contact information
Practice address
1703 1/2 LENA ST, SANTA FE, NM 87505-2001
(505) 309-0690
Mailing address
3171 PLAZA BLANCA, SANTA FE, NM 87507-5343
(505) 795-3000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
69168
NM
367A00000X
Advanced Practice Midwife
APN 0991807-CNM
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN 0991807
COLORADO LICENSE
CO
01
—
APNCNP69168
NM BOARD OF NURSING
NM
Enumeration date
07/20/2015
Last updated
01/05/2024
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