Individual
MARCIE LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1630 HOSPITAL DR, SUITE D, SANTA FE, NM 87505-4772
(505) 983-6774
(888) 707-2979
Mailing address
1630 HOSPITAL DR, SUITE D, SANTA FE, NM 87505-4772
(505) 983-6774
(888) 707-2979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02794
NM
Other
Enumeration date
11/03/2015
Last updated
01/05/2017
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