DR. TANYA VERONICA MARIN DNP APRN CPNP-PC/A NPI 1699799684

NPI Information

NPI: 1699799684
Provider Name: DR. TANYA VERONICA MARIN, DNP, APRN, CPNP-PC/A
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Organization: TANYA V MARIN PC

PECOS Registration: Yes

Address:
1245 COUNTRY CLUB RD
SUITE 200
SANTA TERESA, NM
ZIP 88008
Phone: (575) 332-4633
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DR. Tanya Veronica Marin, DNP, APRN, CPNP-PC/A is a pediatrics nurse practitioner in Santa Teresa, NM with 9 years of experience. DR. Tanya Veronica Marin, DNP, APRN, CPNP-PC/A NPI is 1699799684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1245 COUNTRY CLUB RD
SUITE 200
SANTA TERESA, NM
ZIP 88008-743
Phone: (575) 332-4633
Fax: (575) 332-4635

The NPI 1699799684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 5/22/2019.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	CNP-02627	NEW MEXICO	Yes
2	363L00000X	Nurse Practitioner		644173	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	644173	OTHER	TEXAS	NURSE PRACTITIONERS
2	42850002	MEDICAID	NEW MEXICO

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: 11/14/2023

NPI Synchronization or Removal

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