IndividualActive
Kathryn Whittaker, AGACNP-BC
NPI 1396574380 · Gerontology Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1396574380
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 55280 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5981 Jefferson St Ne Ste a
Albuquerque, NM 87109-3457
Phone: (505) 370-9600
Approximate (ZIP-level) locationGet directions
Mailing address
5981 Jefferson St Ne Ste a
Albuquerque, NM 87109-3457
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.