TANYA V MARIN PC NPI 1720469679

NPI Information

NPI: 1720469679
Provider Name: TANYA V MARIN, PC

Doing Business As: SANTA TERESA CHILDREN'S NIGHT CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 32D2096773

Address:
1245 COUNTRY CLUB RD
SUITE 200
SANTA TERESA, NM
ZIP 88008
Phone: (575) 332-4633
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TANYA V MARIN, PC is a primary care clinic center in Santa Teresa, NM. TANYA V MARIN, PC NPI is 1720469679. The provider is registered as an organization entity type.
The provider Is Doing Business As Santa Teresa Children's Night Clinic.

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 provider's authorized official is Tanya Veronica Marin .
The authorized official title is Pediatric Nurse Practitioner/ Owner and has the following contact phone number (575) 332-4633.

The CLIA number assigned to this NPI record is 32D2096773 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 6/17/2015.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

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