Streu, Kimberly Marie
Streu, Kimberly Marie is an individual health care provider with primary practice located at 1723 Truman St Ne , Albuquerque NM 87110-5853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Streu, Kimberly Marie can be contacted via phone (505) 414-2150.Contact Information
Primary practice address
1723 Truman St Ne
Albuquerque NM 87110-5853
Phone: (505) 414-2150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1702-APNP | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN72201 | New Mexico |
Profile Details
| NPI number | 1508835158 |
|---|---|
| LBN Legal business name | Streu, Kimberly Marie |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Feb 25th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508835158 | NPPES |
| Wisconsin | Other | 170200000000 | BLUE CROSS |
| Wisconsin | MEDICAID | 43942600 | BLUE CROSS |
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