Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ruben A. Supan, LLC

Organization Family Nurse Practitioner · NPI 1053802892

Ruben A. Supan, LLC is a Family Nurse Practitioner in Roswell, New Mexico. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

405 W Country Club Rd
Roswell, NM 88201-5209
Phone: (575) 363-3134
Fax: (575) 208-0780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1053802892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruben Supan — Nurse Practitioner · (505) 409-0831
NPI enumeratedMay 29, 2018
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021
Mailing addressPo Box 8244, Roswell, NM 88202-8244

Other providers in Roswell