EMILY HERRICK KASSAM

ALBUQUERQUE, NM
NPI1023567716
Former NameEMILY M HERRICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NM  62644)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: NC  5008884)
Enumeration Date2016-09-23
Last Update Date2023-07-12
Business Address
Mrs. EMILY HERRICK KASSAM NP
8100 CONSTITUTION PL NE STE 400
ALBUQUERQUE, NM 87110-7644
Phone number: 505-559-6024
Mailing Address
Mrs. EMILY HERRICK KASSAM NP
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 503-923-6770