Organization · Type 2 NPI

Ruben A. Supan, LLC

Family Nurse Practitioner · Roswell, NM

NPI number 1053802892 Active

Practice location

405 W Country Club Rd
Roswell, NM 88201-5209

Fax (575) 208-0780

Mailing address

PO Box 8244
Roswell, NM 88202-8244

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1053802892

Ruben A. Supan, LLC's National Provider Identifier is 1053802892, issued on May 29, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roswell, NM. The record was last updated on Jul 6, 2021.