| Doctor Name: | KAREN ELIZABETH KIRST-MILLSPAUGH |
| NPI Number: | 1518341759 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CNP10400 |
| Business Practice Address: | 209 E. Allen Ayers Rd. Estancia, NM - 87016 |
| Business Phone Number: | 5053842711 |
| Business Fax Number: | 5053840240 |
| Mailing Address: | 209 E. Allen Ayers Road, ESTANCIA |
| State: | NM |
| Postal Code: | 87016 |
| Phone Number: | 5053842711 |
| Fax Number: | 5053840240 |
| NPI Enumeration Date: | 07/17/2015 |
| NPI Last Update Date: | 07/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | CNP10400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |