Organization
MARAN, LLC
Active
Other names
Medicus
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREI MARCHENKO CNP (OWNER)
(505) 234-1040
Entity
Organization
Contact information
Practice address
10401 MONTGOMERY PKWY NE STE 150, ALBUQUERQUE, NM 87111-3876
(505) 234-1040
(505) 407-8150
Mailing address
10401 MONTGOMERY PKWY NE STE 150, ALBUQUERQUE, NM 87111-3876
(505) 234-1040
(505) 407-8150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01745
NM
Other
Enumeration date
03/08/2012
Last updated
09/19/2012
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