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Contact Information

MARYANNE E MICELI
13139 CENTRAL AVE NE
ALBUQUERQUE, NM87123-3031
 Phone: 505-459-5054
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for MARYANNE E MICELI · (Female)

NPI # 1184454530
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2024
Last updated 04/15/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1889
  • NM License # CTB-2025-0871
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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