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Contact Information

MARY CROUCH III
118 S. MAIN
LAS CRUCES, NM88001
 Phone: 575-527-7984
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARY CROUCH III · (Female)

NPI Number 1417106402
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2008
Last updated 09/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NM License # R23247
  • NM Medicaid 47043
  • NM Other 850204142 MEDICARE
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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