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General NPI Number Information
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NPI Number | 1609873355
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Entity Type | Individual
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Provider Name | MARCIA LOUISE HEFKER PMHNP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1400 S 2ND STREET
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City | RATON
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State | NM
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Zip | 87740
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Country | US
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Telephone | 505-225-3020
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Fax | 505-212-5265
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Provider Business Mailing Address
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Address Line | 8206 LOUISIANA BLVD, STE A 1701
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City | ALBUQUERQUE
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State | NM
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Zip | 87113
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Country | US
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Telephone | 505-225-3020
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Fax | 505-212-5265
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP00722
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R34642
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP00722
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License Number State | NM
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