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Contact Information

KYLE DEISIG, FNP-C
PO BOX 133
ANGEL FIRE, NM87710-0133
 Phone: 575-377-3301
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KYLE DEISIG · (Male)

NPI Number 1578388633
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 11/22/2024
Last updated 12/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # 66201
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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