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Individual

KATHERINE ANN DUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5900 FOREST HILLS DR NE, ALBUQUERQUE, NM 87109-4129
(619) 671-8963
Mailing address
78 SANDIA CREST RD, SANDIA PARK, NM 87047-2413
(618) 671-8963

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2021019692
MO
363LA2200X
Adult Health Nurse Practitioner
209023478
IL
363LA2200X
Adult Health Nurse Practitioner
67996
NM
363LG0600X
Gerontology Nurse Practitioner
Primary
67996
NM

Other

Enumeration date
07/19/2021
Last updated
03/18/2023
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