Smith, Marcy
Smith, Marcy is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne 2Nd Floor, Albuquerque NM 87106-2745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Marcy can be contacted via phone (505) 272-3189.Contact Information
Primary practice address
2211 Lomas Blvd Ne 2Nd Floor
Albuquerque NM 87106-2745
Phone: (505) 272-3189
Fax: (505) 272-2330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R9390 | New Mexico |
Profile Details
| NPI number | 1992786909 |
|---|---|
| LBN Legal business name | Smith, Marcy |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | May 16th, 2012 - about 12 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 | 1992786909 | NPPES |
| New Mexico | Other | NM300999 | PTAN NUMBER |
| New Mexico | Other | 93369 | PTAN NUMBER |
| New Mexico | Other | R9390 | PTAN NUMBER |
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