Healthcare Provider Details

I. General information

NPI: 1417081357
Provider Name (Legal Business Name): MARCY BETH NEWMAN DOM, DACM, MSN, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARCY B NEWMAN DOM, DACM, MSN, MPH

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 HICKOX ST STE G
SANTA FE NM
87505-1088
US

IV. Provider business mailing address

950 W CORDOVA RD UNIT 231
SANTA FE NM
87505-1863
US

V. Phone/Fax

Practice location:
  • Phone: 505-500-2014
  • Fax:
Mailing address:
  • Phone: 505-500-2014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAOM-2025-0017
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: