Individual provider · Type 1 NPI

Angela M. Kisner, DOM, FNP-CB, BSN-RN

Family Nurse Practitioner · Albuquerque, NM

NPI number 1609004910 Active

Practice location

1501 San Pedro Dr SE
Albuquerque, NM 87108-5154

Call (505) 265-1711 Map

Mailing address

9805 Rio Corto Ave SW
Albuquerque, NM 87121-2628

Other practice locations

  • 2527 Wyoming Blvd NE, Suite A, Albuquerque, NM 87112-1039 · (505) 803-3623

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000X992 (NM)
VA Clinic/Center 261QV0200X54175 (NM)
Family Nurse Practitioner Primary 363LF0000X54175 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1609004910

Angela M. Kisner, DOM, FNP-CB, BSN-RN's National Provider Identifier is 1609004910, issued on Jun 25, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 11, 2022.