Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | CNP-00714 | NM |
N | 363L00000X | Nurse Practitioner | R34317 | NM |
N | 363LF0000X | Nurse Practitioner - Family Medicine | R34317 | NM |
NPI | 1003803511 |
---|---|
Provider Name | Geoffrey D Steffens |
First Address | Albuquerque, NM 87106 |
Second Address | Albuquerque, NM 87106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 16/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
66527333 | (05) | NM |
S99926 | (02) | NM |