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RUBEN SUPAN, NP-C

NP-C

Family Nurse Practitioner

NPI: 1619392883Individual

Specialties, Licenses & Credentials

Psychiatric/Mental Health Nurse Practitioner

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X

CNP02032(NM)
Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

CNP-02362(NM)

CMS Specialties

Education

OTHER

Class of 2013

Contact & Hours

Address
405 W COUNTRY CLUB RD
ROSWELL, NM 88201

Quick Facts

NPI
1619392883
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1
Years in Practice
13

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