Individual
STEPHANIE BEYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5700 HARPER DR NE STE 410, ALBUQUERQUE, NM 87109-3585
(505) 843-7813
(505) 843-6947
Mailing address
1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM 87107-7002
(505) 266-5565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2023-0304
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/01/2021
Last updated
01/11/2024
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