institution
Ruben A. Supan, Llc
Family Nurse Practitioner in Roswell, New Mexico
NPI 1053802892

Ruben A. Supan, Llc is a Family Nurse Practitioner based in Roswell, NM and is specialized in Family. Ruben A. Supan, Llc practices in Roswell, NM. The NPI Number for Ruben A. Supan, Llc is 1053802892 and holds a License No. (New Mexico).

The current practice location address for Ruben A. Supan, Llc is 405 W Country Club Rd, Roswell, NM and can be reached out via phone at 575-363-3134 and via fax at 575-208-0780.

Location: 405 W Country Club Rd, Roswell, NM, 88202-8244
institution
Provider Profile Details
NPI Number
1053802892
Provider Name
Ruben A. Supan, Llc
Credential
Provider Entity Type
Organization
Address
405 W Country Club Rd, Roswell, NM, 88202-8244
Phone Number
575-363-3134
Fax Number
575-208-0780
Provider Enumeration Date
05/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23386363 05 NM
institution
Provider Business Practice Location Address Details
Address
405 W Country Club Rd
City
State
Zip
88201-5209
Phone Number
575-363-3134
Fax Number
575-208-0780
person
Provider Business Mailing Address Details
Address
405 W Country Club Rd
City
State
Zip
88201-5209
Phone Number
575-363-3134
Fax Number
575-208-0780
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
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Definition
Definition to come...
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