Individual
KIMBERLY A. HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4333 PAN AMERICAN FWY NE STE B, ALBUQUERQUE, NM 87107-6833
(505) 266-3835
Mailing address
7513 LAMPLIGHTER LN NE, ALBUQUERQUE, NM 87109-3218
(505) 385-8167
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
60-810
NM
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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