Individual provider · Type 1 NPI

Ruben Alfaro Supan, NP-C

Family Nurse Practitioner · Roswell, NM

NPI number 1619392883 Active

Practice location

405 W Country Club Rd
Roswell, NM 88201-5209

Mailing address

PO Box 8244
Roswell, NM 88202-8244

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XCNP02032 (NM)
Family Nurse Practitioner Primary 363LF0000XCNP-02362 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1619392883

Ruben Alfaro Supan, NP-C's National Provider Identifier is 1619392883, issued on Feb 25, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roswell, NM. The record was last updated on Oct 27, 2023.