IndividualActive
Rebecca Kudlaty
NPI 1609508787 · Pediatric Nurse Practitioner · Santa Fe, NM
Provider details
- NPI number
- 1609508787
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1077309 (TX)
Practice location
4801 Beckner Rd Ste 1600
Santa Fe, NM 87507-3641
Phone: (505) 772-2000
Mailing address
6621 Fannin St # Mcw1998
Houston, TX 77030-2358
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2024-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.