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Contact Information

STEPHANIE SUGG
813 N WASHINGTON AVE
ROSWELL, NM88201-3999
 Phone: 575-622-2606
 Fax: 575-622-6645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for STEPHANIE SUGG · (Female)

NPI # 1669963948
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2018
Last updated 05/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NM License # APRN-CNP-67545
  • NM License # R54084
  • NM Medicaid 850441031
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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