Stephanie Doane, NP
Individual provider Active NPI Family Nurse Practitioner · Holloman Afb, NM
NPI 1649628850 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1649628850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 53-78278-032 (KS)
- Practice address
- 280 David L Goldfein St BLDG 23
Holloman Afb, NM 88330-8273 - Phone
- (575) 572-5374
- NPI assigned
- May 27, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-78278-032 | KS | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-78278-032 | KS | Yes |
Addresses
Primary practice location
280 David L Goldfein St BLDG 23
Holloman Afb, NM 88330-8273
Mailing address
280 David L Goldfein St BLDG 23
Holloman Afb, NM 88330-8273
Phone (575) 572-0575
Other providers in Holloman Afb, NM
- Joshua P Crum
- Sebastian Alejandro Cruz
- Shirley Dakin
- Courtney Davis
- Gensah Daye-Smith
- Zachary Michael Dreaden
- Brennan Drewry
- Jessica L Duby
- Ashley Duray
- Sarah Durgam
All providers in Holloman Afb, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.