Individual
MRS. LAUREL ANNE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA HOSPITAL, ESPANOLA, NM 87532
(505) 753-7111
Mailing address
23 VISTA DEL OCASO RD, RANCHOS DE TAOS, NM 87557
(505) 737-9608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R42934
NM
Other
Enumeration date
09/22/2005
Last updated
07/08/2007
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