Pisana, Maricelda P
Pisana, Maricelda P is an sole proprietor health care provider with primary practice located at 700 Broadway , Lake Arthur NM 88253. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Pisana, Maricelda P can be contacted via phone (575) 365-2000.Contact Information
Primary practice address
700 Broadway
Lake Arthur NM 88253
Phone: (575) 365-2000
Fax: (575) 365-2002
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / School | 163WS0200X | R33559 | New Mexico |
Profile Details
NPI number | 1366891004 |
---|---|
LBN Legal business name | Pisana, Maricelda P |
Credentials | RN, BSN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 3rd, 2016 |
Last updated | Jun 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366891004 | NPPES |
New Mexico | Other | R33559 | RN LICENSE |
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