La Marca, Selene Marie

La Marca, Selene Marie is an individual health care provider with primary practice located at 3900 E Lohman Ave Ste B , Las Cruces NM 88011-8268. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. La Marca, Selene Marie can be contacted via phone (575) 522-5752.

Contact Information

Primary practice address
3900 E Lohman Ave Ste B Las Cruces NM 88011-8268
Phone: (575) 522-5752
Fax: (575) 522-5722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-02303 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CNP-02303 New Mexico

Profile Details

NPI number 1396176319
LBN Legal business name La Marca, Selene Marie
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2013
Last updated Mar 17th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396176319 NPPES
New Mexico MEDICAID 75685248

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