Individual
ALAN MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-6241
(505) 982-6280
Mailing address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-6241
(505) 982-6280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R24154
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94516
—
NM
Enumeration date
10/13/2005
Last updated
12/02/2011
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