Individual
JAN KRISTY COLANZE SENERICHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NELSON AVE APT 1105, FARMINGTON, NM 87401-3335
(505) 436-9688
Mailing address
400 NELSON AVE APT 1105, FARMINGTON, NM 87401-3335
(505) 436-9688
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
Primary
RN-84262
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1132003
—
NM
Enumeration date
02/24/2022
Last updated
02/24/2022
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