Doctor Name: | KIMBERLY DRISKILL |
NPI Number: | 1093136061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R17515 |
Business Practice Address: | 800 Coronado St Los Lunas, NM - 87031 |
Business Phone Number: | 5058659313 |
Business Fax Number: | |
Mailing Address: | 1301 Cinder Lane, LOS LUNAS |
State: | NM |
Postal Code: | 87031 |
Phone Number: | 5058659313 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2013 |
NPI Last Update Date: | 12/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | R17515 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |