Anguiano, Kristal

Anguiano, Kristal is an individual health care provider with primary practice located at 2010 Industrial Park Rd. El Centro Family Health, Espanola NM 87532-3600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Anguiano, Kristal can be contacted via phone (505) 753-7395.

Contact Information

Primary practice address
2010 Industrial Park Rd. El Centro Family Health Espanola NM 87532-3600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2012-0007 New Mexico

Profile Details

NPI number 1760771067
LBN Legal business name Anguiano, Kristal
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Jul 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760771067 NPPES
New Mexico MEDICAID 61528021

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