Individual
TRACI DENE STEGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8734
(575) 443-7445
(575) 443-7449
Mailing address
408 SUNRISE AVE, ALAMOGORDO, NM 88310-4141
(575) 442-3381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54125
NM
Other
Enumeration date
11/25/2018
Last updated
11/25/2018
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