Individual
MIKKALELLA J STEGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FAMILY PRACTIONER
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8734
(575) 493-6100
Mailing address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8734
(575) 439-6100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54557
NM
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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