| NPI | 1104356963 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2017-06-14 |
| Last Updated | 2022-07-21 |
| Mailing Address | 300 W Country Club Rd Ste 230 Roswell, NM 88201-5240 United States Phone: (575) 622-1411 | Fax: (575) 624-5630 📍 View Map |
| Primary Practice Address | 300 W Country Club Rd Ste 230 Roswell, NM 88201-5240 United States Phone: (575) 622-1411 | Fax: (575) 624-5630 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | NM | CNP03246 |
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About NPI 1104356963
Kim Hestand CNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104356963. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Roswell, NM. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-06-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104356963?
NPI 1104356963 belongs to Kim Hestand CNP, a Nurse Practitioner, Family in Roswell, NM. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104356963 active?
The current status of NPI 1104356963 in the NPPES registry is Active. The record was last updated on 2022-07-21.
What specialty is NPI 1104356963?
NPI 1104356963 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104356963?
You can verify NPI 1104356963 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104356963?
The primary practice address on file for NPI 1104356963 is 300 W Country Club Rd Ste 230, Roswell, NM 88201-5240. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104356963 issued?
NPI 1104356963 was first issued (enumerated) on 2017-06-14. The NPPES record was last updated on 2022-07-21.
Practice Location Map
Kim Hestand is located at 300 W Country Club Rd Ste 230, Roswell, NM. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kim Hestand. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104356963. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Family | CNP03246 | NM |