Meyers-Marquardt, Mary Therese
Meyers-Marquardt, Mary Therese is an individual health care provider with primary practice located at 402 W Country Club Rd , Roswell NM 88201-5247. 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 / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Meyers-Marquardt, Mary Therese can be contacted via phone (575) 637-7000.Contact Information
Primary practice address
402 W Country Club Rd
Roswell NM 88201-5247
Phone: (575) 637-7000
Fax: (575) 637-7019
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 256947 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | CNP-02624 | New Mexico |
Profile Details
NPI number | 1184673436 |
---|---|
LBN Legal business name | Meyers-Marquardt, Mary Therese |
Credentials | APRN, BC, ANP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 6th, 2006 |
Last updated | Mar 17th, 2018 - about 6 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 | 1184673436 | NPPES |
Texas | Other | 8Y5552 | TEXAS BCBS |
Texas | MEDICAID | 200646201 | TEXAS BCBS |
Texas | Other | 519408YYH0 | TEXAS BCBS |
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