Individual provider · Type 1 NPI
Kristen Marie Phoenix, RN
Pediatric Registered Nurse · Gallup, NM
NPI number
1598339772
Active
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 800400 (TX) |
Pediatric Registered Nurse: Definition to come...
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About NPI 1598339772
Kristen Marie Phoenix, RN's National Provider Identifier is 1598339772, issued on May 13, 2021. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Gallup, NM. The record was last updated on May 13, 2021.