Marancenbaum, Heather Ellen

Marancenbaum, Heather Ellen is an individual health care provider with primary practice located at 211 Sudderth Dr , Ruidoso NM 88345-6002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Marancenbaum, Heather Ellen can be contacted via phone (575) 257-8200.

Contact Information

Primary practice address
211 Sudderth Dr Ruidoso NM 88345-6002
Phone: (575) 257-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24957 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2015-0170 New Mexico

Profile Details

NPI number 1528073384
LBN Legal business name Marancenbaum, Heather Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Oct 2nd, 2023 - about 2 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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