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Contact Information

MARINA FEDOTOWSKY, CFNP
1511 S LIME ST
DEMING, NM88030-6207
 Phone: 575-538-2981
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARINA FEDOTOWSKY · (Female)

NPI Number 1942748017
Status Active
Credentials CFNP
Entity Individual
Enumeration date 02/08/2017
Last updated 10/26/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 54159
  • OH License # APRN.CNP.020037
Hospital affiliation(s)
  • MIMBRES MEMORIAL HOSPITAL - (Critical Access)
    900 W ASH
    DEMING, NM 88031
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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