Individual
MARINA FEDOTOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1511 S LIME ST, DEMING, NM 88030-6207
(575) 538-2981
Mailing address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020037
OH
363LP2300X
Primary Care Nurse Practitioner
54159
NM
Other
Enumeration date
02/08/2017
Last updated
10/26/2022
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