Individual
MARSHA DELAINE SAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1325 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5046
(505) 291-5300
(505) 291-5302
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03150
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN231734
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03287068
—
NM
Enumeration date
09/18/2013
Last updated
03/20/2017
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