Marian Nez, CHW
Individual provider Active NPI Community Health Worker · Tohajiilee, NM
NPI 1407660889 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1407660889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- S1-026 (NM)
- Practice address
- 129 Medicine Horse Dr
Tohajiilee, NM 87026 - Phone
- (505) 908-2307
- Fax
- (505) 908-2306
- NPI assigned
- Feb 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1-026 | NM | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | S1-026 | NM | Yes |
Addresses
Primary practice location
129 Medicine Horse Dr
Tohajiilee, NM 87026
Mailing address
129 Medicine Horse Dr
PO Box 3338
Tohajiilee, NM 87026
Phone (505) 908-2307
Other providers in Tohajiilee, NM
- Mariah Kayla Jake
- Jonathan John Johnson
- Ruth Lynne Kelly
- Elaine Little
- Kimberly Ann Madden
- Sheryl Ann O'Shea
- Demetria Robina Platero
- Julianna Jean Reece
- Ursula Renee Roblero
- David Sanabria
All providers in Tohajiilee, NM · Community Health Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.