Trainer, Mara

Trainer, Mara is an sole proprietor health care provider with primary practice located at 3917 West Rd Ste A , Los Alamos NM 87544-2292. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Trainer, Mara can be contacted via phone (505) 661-8900.

Contact Information

Primary practice address
3917 West Rd Ste A Los Alamos NM 87544-2292
Fax: (505) 661-8916
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-03443 New Mexico

Profile Details

NPI number 1740337146
LBN Legal business name Trainer, Mara
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Nov 10th, 2017 - about 7 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 1740337146 NPPES
New Mexico Other 850434082 TAX IDENTIFICATION NUMBER

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