Individual
MARLYN A NEWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9109 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111
(505) 275-4288
(505) 275-4203
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00016
NM
363LF0000X
Family Nurse Practitioner
R06743
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93468
—
NM
Enumeration date
07/26/2006
Last updated
08/22/2024
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