SearchNew Mexico103K00000X

Kristine Macias

NPI 1174045165 · on the registry since 2017 · sole proprietor

Practice

Address
77 Juniper Ave
Los Lunas, NM 87031
Phone
(505) 415-0349

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106E00000X
373H00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico