Individual
VANESSA COLE MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 CEDAR ST SE, SUITE 7600, ALBUQUERQUE, NM 87106-4917
(505) 563-2500
(505) 563-2608
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A93267
CA
207RC0000X
Cardiovascular Disease Physician
Primary
MD2009-0638
NM
Other
Enumeration date
01/08/2007
Last updated
07/22/2019
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