Healthcare Provider Details

I. General information

NPI: 1023117827
Provider Name (Legal Business Name): KIERSTEN ANN FIGURSKI LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 11/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 PASEO DEL CANON W STE A
TAOS NM
87571-6943
US

IV. Provider business mailing address

PO BOX 94508
ALBUQUERQUE NM
87199-4508
US

V. Phone/Fax

Practice location:
  • Phone: 575-758-5857
  • Fax: 575-758-5860
Mailing address:
  • Phone: 505-384-7352
  • Fax: 505-274-7338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number00405R
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0192321
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: