Individual
DR. MARY KATHERINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
UNM COLLEGE OF NURSING, MSC 09 5350, ALBUQUERQUE, NM 87131-0001
(505) 272-3984
(505) 272-8901
Mailing address
1004 QUINCY ST SE, ALBUQUERQUE, NM 87108-3512
(505) 239-1758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-01754
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP-01754
NEW MEXICO APN #
NM
Enumeration date
07/03/2006
Last updated
02/14/2013
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