Individual
SANDRA L KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
904 LAS LOMAS RD NE, ALBUQUERQUE, NM 87102
(505) 924-2650
Mailing address
904 LAS LOMAS RD NE, ALBUQUERQUE, NM 87102-2633
(505) 924-2650
(505) 924-2684
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-01725
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32256868
—
NM
Enumeration date
01/18/2011
Last updated
09/07/2018
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