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Mr. Ruben Alfaro Supan, NP-C
Family Nurse Practitioner in Roswell, New Mexico
NPI 1619392883

Ruben Alfaro Supan is a Family Nurse Practitioner based in Roswell, NM and is specialized in Family. Ruben Alfaro Supan practices in Roswell, NM and has the professional credentials of NP-C. The NPI Number for Ruben Alfaro Supan is 1619392883 and holds a License No. CNP02032 (New Mexico).

The current practice location address for Ruben Alfaro Supan is 405 W Country Club Rd, Roswell, NM and can be reached out via phone at 505-409-0831. You can also correspond with Ruben Alfaro Supan through the mailing address at PO BOX 8244, ROSWELL, NM - 88202-8244 (mailing address contact number: 575-624-2095).

Location: 405 W Country Club Rd, Roswell, NM, 88202-8244
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Provider Profile Details
NPI Number
1619392883
Provider Name
Ruben Alfaro Supan
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
405 W Country Club Rd, Roswell, NM, 88202-8244
Phone Number
505-409-0831
Fax Number
Provider Enumeration Date
02/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 W Country Club Rd
City
State
Zip
88201-5209
Phone Number
505-409-0831
Fax Number
person
Provider Business Mailing Address Details
Address
405 W Country Club Rd
City
State
Zip
88201-5209
Phone Number
505-409-0831
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP-02362 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP02032 (New Mexico)
Definition
Definition to come...
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