Individual provider · Type 1 NPI
Mark Allen Kneisley
Emergency Registered Nurse · Pecos, NM
NPI number
1730816083
Active
Practice location
#3 Rougemont Ln
Pecos, NM 87552
Mailing address
HC 74 Box 875
Pecos, NM 87552-9515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | RN-83310 (NM) |
Emergency Registered Nurse: Definition to come...
About NPI 1730816083
Mark Allen Kneisley's National Provider Identifier is 1730816083, issued on Aug 5, 2022. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Pecos, NM. The record was last updated on Aug 5, 2022.