Individual
STEVEN ROBERT IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-PC
Contact information
Practice address
385 CALLE DE ALEGRA STE B, LAS CRUCES, NM 88005-3423
(575) 674-2880
(575) 674-2881
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129845
TX
Other
Enumeration date
12/29/2015
Last updated
05/06/2021
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