Provider Demographics
NPI:1114052727
Name:ADMIRE, KAYE SCANLON (MSN, RNCS)
Entity Type:Individual
Prefix:
First Name:KAYE
Middle Name:SCANLON
Last Name:ADMIRE
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Gender:F
Credentials:MSN, RNCS
Other - Prefix:
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Mailing Address - Street 1:5142 GOLONDRINA NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2036
Mailing Address - Country:US
Mailing Address - Phone:505-898-8182
Mailing Address - Fax:505-792-3715
Practice Address - Street 1:5142 GOLONDRINA NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-2036
Practice Address - Country:US
Practice Address - Phone:505-898-8182
Practice Address - Fax:505-792-3715
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2010-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMR23668163WP0809X, 364SP0809X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WC0400XNursing Service ProvidersRegistered NurseCase Management