Individual
DR. STEPHEN VAN ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, PHD
Contact information
Practice address
MSC09 5350, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2375
(505) 272-8901
Mailing address
MSC09 5350, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2375
(505) 272-8901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
099007691N1
OR
363LF0000X
Family Nurse Practitioner
Primary
CNP-02104
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110818
—
OR
Enumeration date
12/01/2005
Last updated
08/20/2013
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