Individual
MOLLY MAENCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 700, ALBUQUERQUE, NM 87106-4905
(505) 563-6120
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2023-0277
NM
2080P0202X
Pediatric Cardiology Physician
Primary
MD2023-0277
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2017
Last updated
07/15/2024
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