Individual
JOHN E PAPASTATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1060 CERRILLOS RD, SANTA FE, NM 87505-1650
(505) 476-6300
Mailing address
1321 E POPLAR ST, DEMING, NM 88030-4807
(575) 546-5951
(575) 546-5994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-75738
NM
163WS0200X
School Registered Nurse
393727
NM
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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