Individual
MARCELLA R. NORDHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S CCC-SLP
Contact information
Practice address
US HWY 64 OLD HIGH SCHOOL RD, SHIPROCK, NM 87420
(505) 368-5163
(505) 368-5502
Mailing address
1212 CAMINA HERMOSA, FARMINGTON, NM 87401-8137
(505) 327-4328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1400
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K2528
—
NM
Enumeration date
03/08/2007
Last updated
07/08/2007
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