KRISTEN MARIE PHOENIX RN NPI 1598339772

NPI Information

NPI: 1598339772
Provider Name: KRISTEN MARIE PHOENIX, RN
Classification: Registered Nurse - 163WP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
516 E NIZHONI BLVD
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
Get Directions

Kristen Marie Phoenix, RN is a pediatrics registered nurse in Gallup, NM. Kristen Marie Phoenix, RN NPI is 1598339772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

516 E NIZHONI BLVD
GALLUP, NM
ZIP 87301-748
Phone: (505) 722-1000

The enumeration date for this NPI number is 5/13/2021 and was last updated on 5/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0200X	Registered Nurse	Pediatrics	800400	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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