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Contact Information

MARIN TELEHEALTH
1245 COUNTRY CLUB RD STE 200
SANTA TERESA, NM88008-9743
 Phone: 575-332-4633
 Fax: 877-209-8941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARIN TELEHEALTH · (Female)

NPI # 1023741188
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2022
Last updated 08/12/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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