| NPI | 1972836419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY D STEFFENS Secretary 505-299-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R34317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R55046) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |