Individual
STEPHANIE MARIE NEVAREZ-FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
SOUTH VALLEY HEALTH CENTER, 2001 CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4592
(505) 873-7400
(505) 877-4400
Mailing address
PO BOX 912678, DENVER, CO 80291-2678
(505) 241-5182
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20060304
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50657852
—
NM
Enumeration date
08/01/2006
Last updated
10/17/2024
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