Thorsen, Martha Slemp

Thorsen, Martha Slemp is an individual health care provider with primary practice located at 1515 West Fir , Portales NM 88130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thorsen, Martha Slemp can be contacted via phone (505) 356-6695.

Contact Information

Primary practice address
1515 West Fir Portales NM 88130
Fax: (504) 348-7487
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R46201 New Mexico

Profile Details

NPI number 1952392615
LBN Legal business name Thorsen, Martha Slemp
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 17 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 1952392615 NPPES
New Mexico MEDICAID B0346

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