Marie S March, RN

Individual provider Active NPI Registered Nurse · Dulce, NM

NPI 1356358881 · NPPES record last updated Sep 21, 2010

Key facts

NPI
1356358881
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R30708 (NM)
Practice address
500 North Mundo
Dulce, NM 87528
Phone
(505) 759-3291
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R30708NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dulce Health Center Past
since Nov 4, 2010
Accepting new patients
Jicarilla IHS Pharmacy Past
since Mar 5, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R30708 NM Yes

Addresses

Primary practice location

500 North Mundo
Dulce, NM 87528

Mailing address

12000 Stone Lake Road
Dulce, NM 87525
Phone (505) 759-3291

Other identifiers

IdentifierTypeStateIssuer
HSZ196OtherNMMEDICARE PART B
000K3526MedicaidNM

Other providers in Dulce, NM

All providers in Dulce, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.