Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1048597 | TX |
NPI | 1003589763 |
---|---|
Provider Name | Robin O Stemerman |
First Address | El Paso, TX 79938-2334 |
Second Address | El Paso, TX 79905-2705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2021 |
Last Update Date | 28/07/2021 |