Maran, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP01745 Issued in NM

Legal business name

MARAN, LLC

Practice address

10401 Montgomery Pkwy NE Ste 150
Albuquerque, NM 87111-3876

Phone

(505) 234-1040

Fax

(505) 407-8150

NPI assigned

Mar 8, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrei Marchenko, CNP

Title

Owner

Phone

(505) 234-1040

Specialties & licenses 1

Addresses

Other names 1

• Medicus Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1407120413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 MONTGOMERY PKWY NE STE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113876",
            "telephone_number": "505-234-1040",
            "fax_number": "505-407-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 MONTGOMERY PKWY NE STE 150",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113876",
            "telephone_number": "505-234-1040",
            "fax_number": "505-407-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "MARCHENKO",
        "authorized_official_first_name": "ANDREI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-234-1040",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baila Maqbool
• Danielle Maquar, BCBA
• Gopi Mara Koosham, M.D.
• Sydney Marable, MOTR-L
• Keri J Maracchini, MS, RDN, LDN
• Christine Lynn Maranan
• Maranllc
• Alex Marasca
• Joanne Abby Marasigan, MD
• Jennifer Marberry

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.