MARIN TELEHEALTH NPI 1023741188

NPI Information

  • NPI: 1023741188
  • Provider Name: MARIN TELEHEALTH
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 32D2265207
  • Address: 1245 COUNTRY CLUB RD STE 200
    SANTA TERESA, NM
    ZIP 88008
  • Phone: (575) 332-4633

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NPI Details

MARIN TELEHEALTH is a primary care nurse practitioner in Santa Teresa, NM. MARIN TELEHEALTH NPI is 1023741188. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1245 COUNTRY CLUB RD STE 200
SANTA TERESA, NM
ZIP 88008-743
Phone: (575) 332-4633
Fax: (877) 209-8941

The provider's authorized official is Tanya Marin .
The authorized official title is Owner and has the following contact phone number (915) 740-4344.

The CLIA number assigned to this NPI record is 32D2265207 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2022 and was last updated on 8/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareYes
2363LW0102XNurse PractitionerWomen's HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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