Individual
MARIANN BREGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4001 RODEO RD, SANTA FE, NM 87507-4830
(505) 471-8994
(505) 473-1274
Mailing address
4001 RODEO RD, SANTA FE, NM 87507-4830
(505) 471-8994
(505) 473-1274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R36389
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000287
LOVELACE
—
01
—
202015530
PRESBYTERIAN HEALTH PLANS
—
01
—
2765720
UHC
—
05
—
93038356
—
NM
01
—
NM026853
BCBS NM
NM
01
—
QMY00000337
MOLINA
—
Enumeration date
07/26/2006
Last updated
09/27/2012
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