Reliford, Marjorie Nicole

Reliford, Marjorie Nicole is an individual health care provider with primary practice located at 4305 N Mesa St Suite A, El Paso TX 79902-1123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Reliford, Marjorie Nicole can be contacted via phone (915) 532-2477.

Contact Information

Primary practice address
4305 N Mesa St Suite A El Paso TX 79902-1123
Fax: (915) 532-2470
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP128109 Texas

Profile Details

NPI number 1568852440
LBN Legal business name Reliford, Marjorie Nicole
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2015
Last updated Aug 18th, 2015 - about 10 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 1568852440 NPPES
Texas Other AP128109 LICENSE
Texas MEDICAID 0346398601 LICENSE

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