Anaya, Marisa
Anaya, Marisa is an sole proprietor health care provider with primary practice located at 420 N Coronado Ave , Espanola NM 87532. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Anaya, Marisa can be contacted via phone (505) 753-2256.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 86586 | New Mexico |
Profile Details
| NPI number | 1174099428 |
|---|---|
| LBN Legal business name | Anaya, Marisa |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2018 |
| Last updated | Oct 15th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174099428 | NPPES |
| New Mexico | MEDICAID | 34659714 |
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