Ryan, Marie
Ryan, Marie is an individual health care provider with primary practice located at 101 S Canal St , Carlsbad NM 88220-5713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ryan, Marie can be contacted via phone (575) 628-1614.Contact Information
Primary practice address
101 S Canal St
Carlsbad NM 88220-5713
Phone: (575) 628-1614
Fax: (575) 234-0591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP00172 | New Mexico |
Profile Details
| NPI number | 1417914094 |
|---|---|
| LBN Legal business name | Ryan, Marie |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Dec 27th, 2011 - about 13 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 | 1417914094 | NPPES |
| New Mexico | Other | 00NM01R94X | BCBS |
| New Mexico | MEDICAID | Q5228 | BCBS |
| New Mexico | MEDICAID | 000Q5228 | BCBS |
| New Mexico | Other | P00946801 | BCBS |
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