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STEPHEN A SKINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
Mailing address
3213 ALCAZAR ST NE, ALBUQUERQUE, NM 87110-2227
(505) 999-0475

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
67151
NM
363LF0000X
Family Nurse Practitioner
67151
NM

Other

Enumeration date
08/18/2023
Last updated
09/28/2023
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