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Individual

MRS. BARBARA LYNN EDMUNDS-KIMREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-BC

Contact information

Practice address
8801 HORIZON BLVD., SUITE 260, UNITED HEALTH CARE- OPTUM, ALBUQUERQUE, NM 87109
(505) 798-6248
(855) 758-0342
Mailing address
8801 HORIZON BLVD., SUITE 260, UNITED HEALTH CARE- OPTUM, ALBUQUERQUE, NM 87109
(505) 798-6248
(855) 758-0342

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP-02788
NM
363LG0600X
Gerontology Nurse Practitioner
CNP-02788
NM

Other

Enumeration date
10/28/2015
Last updated
05/11/2016
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