Individual
MARCIA BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1399 WEIMER ROAD, TAOS, NM 87571
(505) 758-2224
Mailing address
1397A WEIMER ROAD, TAOS, NM 87571
(505) 758-2224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R36413
NM
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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