Individual
KATY PAXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 E 30TH ST STE A, FARMINGTON, NM 87402-8805
(505) 599-8617
(855) 290-2205
Mailing address
3401 E 30TH ST STE A, FARMINGTON, NM 87402-8805
(505) 599-8617
(855) 290-2205
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
74382
NM
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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