Individual
MARGUERITE LYNN CORDAHI-CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2801 RODEO RD, SUITE B13, SANTA FE, NM 87507-6503
(505) 474-0120
Mailing address
1808 OTOWI RD, SANTA FE, NM 87505-3301
(505) 984-8772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R21861
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R21861
LISCENCE
NM
Enumeration date
04/13/2007
Last updated
07/08/2007
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