Individual provider · NPI-1

Kimberly Allen

Nurse Practitioner, Family · Espanola, NM

NPI number1033640263
StatusActive
Last updated in NPPESMar 21, 2017

Details

NPI
1033640263
Entity type
Individual (NPI-1)
Name
Kimberly Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 21, 2017
Last updated
Mar 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyCNP03174NMYes

Practice location

1010 Spruce St
Espanola, NM 87532-2724

Phone 505-753-7111

Mailing address

115 Valley Dr
Santa Fe, NM 87501-1163

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