Provider Demographics
NPI:1467535658
Name:FURY, KRISTI M (MSN CFNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:M
Last Name:FURY
Suffix:
Gender:F
Credentials:MSN CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4411 MONTANO RD NW
Mailing Address - Street 2:SUITE F
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-3235
Mailing Address - Country:US
Mailing Address - Phone:505-899-4414
Mailing Address - Fax:505-898-2395
Practice Address - Street 1:4411 MONTANO RD NW
Practice Address - Street 2:SUITE F
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-3235
Practice Address - Country:US
Practice Address - Phone:505-899-4414
Practice Address - Fax:505-898-2395
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR50047363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMCNP01240OtherCNP LICENSE #
NMR50047OtherNM BD. OF NURSING LIC. NO
NMCS00212086OtherNM BD. OF PHARMACY