Individual
MS. MARTHA MAURA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1950 N DATE ST, TRUTH OR CONSEQUENCES, NM 87901-3701
(575) 894-8057
Mailing address
1950 N DATE ST, TRUTH OR CONSEQUENCES, NM 87901-3701
(575) 894-8057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02470
NM
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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