Individual provider · NPI-1
Nicole Kristine Abeyta, MD
Family Medicine · Albuquerque, NM
NPI number1083243711
StatusActive
Last updated in NPPESSep 19, 2023
Details
- NPI
- 1083243711
- Entity type
- Individual (NPI-1)
- Name
- Nicole Kristine Abeyta
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2020
- Certification date
- Apr 4, 2020
- Last updated
- Sep 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD2023-1014 | NM | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NM |
Practice location
3630 Las Estancias Dr SwAlbuquerque, NM 87121-5504
Phone 505-462-7777 · Fax 505-462-7726
Mailing address
Po Box 26666Presbyterian Healthcare Services
Albuquerque, NM 87125-6666
Phone 505-272-6607 · Fax 505-272-8045
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