Individual
MRS. MARY ANN MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1627 S UNION AVE, ROSWELL, NM 88203-2656
(575) 208-0106
(575) 208-0700
Mailing address
1717 W 2ND ST, STE 101, ROSWELL, NM 88201-2000
(575) 627-1200
(888) 445-1844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R38408
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110162385
RR MEDICARE
—
01
—
79619
PRESBYTERIAN
NM
01
—
841627609
HEALTHSMART
—
01
—
87726
UNITED HEALTH CARE
—
01
—
MARYANNMCGUIRE
TRICARE
—
01
—
NM011928
BCBS
NM
05
—
R6548
—
NM
Enumeration date
08/09/2005
Last updated
03/22/2018
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