Individual
MRS. KIMBERLEE ANN DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3715 LAS ESTANCIAS CT SW, ALBUQUERQUE, NM 87121
(505) 727-4200
(505) 727-4949
Mailing address
PO BOX 273, TOME, NM 87060-0273
(505) 306-5136
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
R63368
NM
363LF0000X
Family Nurse Practitioner
Primary
53116
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53116
CNP LICENSE
NM
Enumeration date
05/14/2018
Last updated
06/08/2023
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