Organization · Type 2 NPI
Knackstedt Medical Group Inc.
Family Nurse Practitioner · Los Ranchos, NM
NPI number
1841651809
Active
Practice location
7218 4th St NW
Los Ranchos, NM 87107-6624
Fax (505) 554-2313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Los Ranchos
About NPI 1841651809
Knackstedt Medical Group Inc.'s National Provider Identifier is 1841651809, issued on Mar 17, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Ranchos, NM. The record was last updated on Mar 17, 2016.