Individual
KATHLEEN A STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2800 DORAL CT, LAS CRUCES, NM 88011-8616
(575) 521-0055
(575) 521-0077
Mailing address
2800 DORAL CT, LAS CRUCES, NM 88011-8616
(575) 521-0055
(575) 521-0077
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
53703
NM
Other
Enumeration date
08/21/2018
Last updated
08/12/2019
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