Individual
MRS. KAYLA E MCMINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1201 N BUTLER AVE, FARMINGTON, NM 87401-6355
(505) 599-8607
Mailing address
3109 CRESTRIDGE DR, FARMINGTON, NM 87401-9330
(505) 330-9872
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-84396
NM
Other
Enumeration date
09/10/2021
Last updated
10/18/2022
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