Healthcare Provider Details

I. General information

NPI: 1568731248
Provider Name (Legal Business Name): ROSLYN JANENE STROHM RN, MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2011
Last Update Date: 09/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3751 DEL REY BLVD
LAS CRUCES NM
88012
US

IV. Provider business mailing address

701 STONE CANYON DR
LAS CRUCES NM
88011-0965
US

V. Phone/Fax

Practice location:
  • Phone: 575-382-4988
  • Fax: 575-382-4999
Mailing address:
  • Phone: 575-652-7211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-01850
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: