Individual
STEPHEN K SAMOEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7741
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
56662
NM
363LF0000X
Family Nurse Practitioner
56662
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20381832
—
NM
Enumeration date
06/27/2019
Last updated
10/26/2022
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