IndividualActive
Roger Blevins, CPNP
NPI 1255304176 · Pediatric Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1255304176
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- R0034727 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Msc 10 5590
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone: (602) 644-0735
Approximate (ZIP-level) locationGet directions
Mailing address
Msc 10 5590
Albuquerque, NM 87131-0001
Registry dates
- Enumerated
- 2006-02-10
- Last updated
- 2016-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.