Organization
PRIORITY MEDICAL AND HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN ALFARO SUPAN CNP (OWNER)
(505) 409-0831
Entity
Organization
Contact information
Practice address
313 W COUNTRY CLUB RD STE 6, ROSWELL, NM 88201-5804
(575) 291-1110
(575) 205-4165
Mailing address
PO BOX 8244, ROSWELL, NM 88202-8244
(575) 291-1110
(575) 205-4165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/27/2022
Last updated
11/05/2024
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