Healthcare Provider Details

I. General information

NPI: 1457775041
Provider Name (Legal Business Name): STEPHANIE APRIL KLEVEN ARNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2014
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE DEPT. OF OB/GYN, 4 ACC
ALBUQUERQUE NM
87106
US

IV. Provider business mailing address

1 UNIVERSITY OF NEW MEXICO MSC10 5580, DEPT OF OB/GYN
ALBUQUERQUE NM
87131-0001
US

V. Phone/Fax

Practice location:
  • Phone: 505-727-2111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0328
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60446916
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number781
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: