Basic Information
| Provider Information | |||||||||
| NPI: | 1801885330 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOCCE | ||||||||
| FirstName: | KRISTINA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 719 SAN MATEO BLVD NE | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871081434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5054850464 | ||||||||
| FaxNumber: | 5052661017 | ||||||||
| Practice Location | |||||||||
| Address1: | 12605 E 16TH AVE | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208480000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2005 | ||||||||
| LastUpdateDate: | 11/25/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/25/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 11675A | WY | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | MD2018-0784 | NM | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 44152 | CO | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 18253 | NV | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 18253 | 01 | NV | NEVADA LICENSE | OTHER | 71037349 | 05 | CO | MEDICAID | DR.0044152 | 01 | CO | COLORADO LICENSE | OTHER | 75956373 | 05 | NM | MEDICAID | MD2018-0784 | 01 | NM | NEW MEXICO LICENSE | OTHER |