Organization
MARIN TELEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA MARIN DNP, APRN, CPNP-PC (OWNER)
(915) 740-4344
Entity
Organization
Contact information
Practice address
1245 COUNTRY CLUB RD STE 200, SANTA TERESA, NM 88008-9743
(575) 332-4633
(877) 209-8941
Mailing address
1245 COUNTRY CLUB RD STE 200, SANTA TERESA, NM 88008-9743
(575) 332-4633
(877) 209-8941
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
07/06/2022
Last updated
08/12/2024
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