Kisner, Angela M

Kisner, Angela M is an sole proprietor health care provider with primary practice located at 1501 San Pedro Dr Se , Albuquerque NM 87108-5154. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Ambulatory Health Care Facilities / VA, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kisner, Angela M can be contacted via phone (505) 265-1711.

Contact Information

Primary practice address
1501 San Pedro Dr Se Albuquerque NM 87108-5154
Phone: (505) 265-1711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 992 New Mexico
Ambulatory Health Care Facilities / VA 261QV0200X 54175 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 54175 New Mexico

Profile Details

NPI number 1609004910
LBN Legal business name Kisner, Angela M
Credentials DOM, FNP-CB, BSN-RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2009
Last updated Mar 11th, 2022 - about 2 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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