Individual
JANIS SANTISTEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
(505) 727-9590
Mailing address
624 UNIVERSITY AVE STE 600, LAS VEGAS, NM 87701-4262
(505) 426-0700
(505) 426-0702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02705
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26127270
—
NM
Enumeration date
06/30/2015
Last updated
11/14/2023
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