Individual
MARCIA K FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 338-3320
(505) 338-3319
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 338-3320
(505) 338-3319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R43290
NM
163WP0808X
Psychiatric/Mental Health Registered Nurse
R43290
NM
Other
Enumeration date
09/13/2013
Last updated
06/22/2015
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