Nishitani, Marilyn

Nishitani, Marilyn is an individual health care provider with primary practice located at 1112 N Main St , Roswell NM 88201-5010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nishitani, Marilyn can be contacted via phone (575) 627-4200.

Contact Information

Primary practice address
1112 N Main St Roswell NM 88201-5010
Phone: (575) 627-4200
Fax: (575) 627-4212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R35362 New Mexico

Profile Details

NPI number 1629060835
LBN Legal business name Nishitani, Marilyn
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 5th, 2016 - about 8 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 1629060835 NPPES
New Mexico MEDICAID S4973

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