Basic Information
Provider Information
NPI: 1467502591
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KRYGIER
FirstName: BARBARA
MiddleName: JEAN
NamePrefix:  
NameSuffix:  
Credential: CFNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6500 JEFFERSON ST NE
Address2: SUITE 100
City: ALBUQUERQUE
State: NM
PostalCode: 871093489
CountryCode: US
TelephoneNumber: 5058438758
FaxNumber: 5058438759
Practice Location
Address1: 6500 JEFFERSON ST NE
Address2: SUITE 100
City: ALBUQUERQUE
State: NM
PostalCode: 871093489
CountryCode: US
TelephoneNumber: 5058438758
FaxNumber: 5058438759
Other Information
ProviderEnumerationDate: 01/11/2007
LastUpdateDate: 12/23/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XR34750NMY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

ID Information
IDTypeStateIssuerDescription
R3475001NMNURSING LICENSE #OTHER


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