Individual
MR. ROBERT STOOPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1 FOSTER LANE, RESERVE, NM 87830
(575) 533-6456
(575) 533-6767
Mailing address
1 FOSTER LANE, RESERVE, NM 87830
(575) 533-6456
(575) 533-6767
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R65940
NM
363L00000X
Nurse Practitioner
69417
NM
363LF0000X
Family Nurse Practitioner
Primary
69417
NM
Other
Enumeration date
08/23/2022
Last updated
10/10/2022
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