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Contact Information

TANYA V MARIN, DNP, APRN, CPNP-PC/A
1245 COUNTRY CLUB RD
SUITE 200
SANTA TERESA, NM88008-9743
 Phone: 575-332-4633
 Fax: 575-332-4635
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TANYA V MARIN · (Female)

NPI Number 1699799684
Status Active
Credentials DNP, APRN, CPNP-PC/A
Entity Individual
Enumeration date 07/26/2006
Last updated 05/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # CNP-02627
  • TX License # 644173
  • NM Medicaid 42850002
  • TX Other 644173 NURSE PRACTITIONERS
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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