Individual
STEPHANIE SUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
813 N WASHINGTON AVE, ROSWELL, NM 88201-3999
(575) 622-2606
(575) 622-6645
Mailing address
PO BOX 278, CAPITAN, NM 88316-0278
(575) 354-8525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R54084
NM
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN-CNP-67545
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850441031
—
NM
Enumeration date
05/23/2018
Last updated
05/11/2022
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