Individual provider · Type 1 NPI

Mary M. Kenyon, CNP

Family Nurse Practitioner · Fort Sumner, NM

NPI number 1366824963 Active

Practice location

Cross Heart Care, 848 N 4th St.
Fort Sumner, NM 88119

Mailing address

PO Box 928
Fort Sumner, NM 88119-0928

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP-02696 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1366824963

Mary M. Kenyon, CNP's National Provider Identifier is 1366824963, issued on Jun 19, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Sumner, NM. The record was last updated on Nov 11, 2021.