Organization
TANYA V MARIN, PC
Active
Other names
Santa Teresa Children's Night Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA VERONICA MARIN DNP, APRN, CPNP-PC (PEDIATRIC NURSE PRACTITIONER/ OWNER)
(575) 332-4633
Entity
Organization
Contact information
Practice address
1245 COUNTRY CLUB RD, SUITE 200, SANTA TERESA, NM 88008-9743
(575) 332-4633
(575) 332-4635
Mailing address
1245 COUNTRY CLUB RD, SUITE 200, SANTA TERESA, NM 88008-9743
(575) 332-4633
(575) 332-4635
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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