MEDICARE: DR. MATTHEW RUBEN ARENIBAS DNP-FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	CNP-03434	NM

General Provider Information

NPI Number	:	1538671078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW RUBEN ARENIBAS DNP-FNP-BC

Provider Business Mailing Address
First Line	:	3821 STONEY BROOK CIR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-3691
Country	:	US
Telephone Number	:	575-640-5548
Fax Number	:

Provider Business Practice Location Address
First Line	:	4672 N SONOMA RANCH BLVD STE B
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-7271
Country	:	US
Telephone Number	:	575-556-1879
Fax Number	:	575-556-1880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2017
Last Update Date	:	08/11/2019

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