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NPI Code Detail

MEDICARE: ALAN MARX CNP

MEDICARE: ALAN MARX CNP
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
1363L00000XNurse PractitionerR24154NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134117062
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN MARX CNP
Provider Business Mailing Address
First Line : 1035 ALTO ST
Second Line :
City : SANTA FE
State : NM
Zip : 87501-2406
Country : US
Telephone Number : 505-982-6241
Fax Number : 505-982-6280
Provider Business Practice Location Address
First Line : 1035 ALTO ST
Second Line :
City : SANTA FE
State : NM
Zip : 87501-2406
Country : US
Telephone Number : 505-982-6241
Fax Number : 505-982-6280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 12/02/2011

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Directions to “ ALAN MARX CNP” Practice Location

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