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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRYSTINA RENAE CARVISO

Active Sole Proprietor

KRYSTINA RENAE CARVISO is a Case Management Agency healthcare provider located in GALLUP, New Mexico. NPI 1831607506 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · GALLUP, NM

Registration Details

NPI Number
1831607506
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2018 (8.5614555355961 yrs)
Last Updated
Nov 15, 2022
Sole Proprietor
Yes

Practice Information

Address
2025 E AZTEC AVE
GALLUP, NM, 873014803
Browse NM providers · Browse ZIP 87301
Phone
5058633828
Primary Specialty
Case Management Agency
251B00000X
Additional Specialty
Case Management Agency
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.