IndividualActive
Steven Ibanez, CPNP-PC
NPI 1871958272 · Pediatric Nurse Practitioner · Las Cruces, NM
Provider details
- NPI number
- 1871958272
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Male
- Sole proprietor
- No
- License
- AP129845 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
385 Calle De Alegra Ste B
Las Cruces, NM 88005-3423
Phone: (575) 674-2880
Fax: (575) 674-2881
Approximate (ZIP-level) locationGet directions
Mailing address
385 Calle De Alegra Ste a
Las Cruces, NM 88005-3423
Additional practice locations (1)
- 4845 Alameda AveEl Paso, TX 79905-2705Phone: (915) 298-5444
Registry dates
- Enumerated
- 2015-12-29
- Last updated
- 2021-05-06
- Certified
- 2020-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.