MR. RUBEN SUPAN, NP-C
Nurse Practitioner - Family
Active
Individual
NPI: 1619392883
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | No | CNP02032 (NM) |
| Nurse Practitioner - Family | 363LF0000X | Yes | CNP-02362 (NM) |
Frequently Asked Questions
NPI 1619392883 is the National Provider Identifier for MR. RUBEN SUPAN, NP-C, a Nurse Practitioner - Family provider located in Roswell, NM. This NPI was enumerated on February 25, 2014.
MR. RUBEN SUPAN, NP-C practices at 405 W COUNTRY CLUB RD, Roswell, NM 88201.
Quick Facts
- NPI
- 1619392883
- Type
- Individual
- Enumerated
- Feb 25, 2014
- Last Updated
- Oct 27, 2023
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