MEDICARE: ASHLEY DIANE MARKUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WW0101X	Ambulatory Women's Health Care Registered Nurse	R67561	NM

General Provider Information

NPI Number	:	1861323354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY DIANE MARKUS

Provider Business Mailing Address
First Line	:	1047 CAMINO SAN ACACIO UNIT C
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-5904
Country	:	US
Telephone Number	:	505-577-4636
Fax Number	:

Provider Business Practice Location Address
First Line	:	1047 CAMINO SAN ACACIO UNIT C
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-5904
Country	:	US
Telephone Number	:	505-577-4636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “ ASHLEY DIANE MARKUS ” Practice Location

Language	Start Address	Practice Location

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