Provider Demographics
NPI:1073754420
Name:ORESKOVICH, KRISTIN M (RN, PNP-BC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:M
Last Name:ORESKOVICH
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Gender:F
Credentials:RN, PNP-BC
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Other - First Name:
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Mailing Address - Street 1:300 SAN MATEO BLVD NE
Mailing Address - Street 2:SUITE 902
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-1519
Mailing Address - Country:US
Mailing Address - Phone:505-222-8677
Mailing Address - Fax:505-841-5885
Practice Address - Street 1:300 SAN MATEO BLVD NE
Practice Address - Street 2:SUITE 902
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1519
Practice Address - Country:US
Practice Address - Phone:505-222-8677
Practice Address - Fax:505-841-5885
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2013-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMR51848163W00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse