Jim, Marla D.

Jim, Marla D. is an individual health care provider with primary practice located at 129 Medicine Horse Drive , Canoncito NM 87026. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Jim, Marla D. can be contacted via phone (505) 908-2307.

Contact Information

Primary practice address
129 Medicine Horse Drive Canoncito NM 87026
Phone: (505) 908-2307
Fax: (505) 908-2310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN-69198 New Mexico

Profile Details

NPI number 1184864043
LBN Legal business name Jim, Marla D.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2009
Last updated Mar 21st, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184864043 NPPES
Other 1194738328 NPI
MEDICAID 30852081 NPI

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