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Contact Information

MARLA D JIM, RN
80 B VETERANS BLVD
SAN FIDEL, NM87049
 Phone: 505-287-7200
 Fax: 505-552-5490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

163WC1500X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARLA D JIM · (Female)

NPI # 1184864043
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/04/2009
Last updated 04/24/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • NM License # RN-69198
  • NM Medicaid 30852081
  • Other 1194738328 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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