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
Phone: (505) 753-7395
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1760771067 | NPPES |
| New Mexico | MEDICAID | 61528021 |
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