Individual
STEPHEN KENT JANWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
100 S MICHIGAN AVE, ROSWELL, NM 88203-3861
(505) 751-7255
(505) 661-0075
Mailing address
1620 N MAIN ST, SPANISH FORK, UT 84660-1008
(801) 822-2234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01177
NM
Other
Enumeration date
09/18/2007
Last updated
07/14/2020
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