Provider Demographics
NPI:1326411711
Name:NG, MARCIA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:
Last Name:NG
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 N 13TH ST STE 400
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:NM
Mailing Address - Zip Code:88210-1133
Mailing Address - Country:US
Mailing Address - Phone:575-736-6800
Mailing Address - Fax:575-736-8145
Practice Address - Street 1:606 N 13TH ST STE 400
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:NM
Practice Address - Zip Code:88210-1133
Practice Address - Country:US
Practice Address - Phone:575-736-6800
Practice Address - Fax:575-736-8145
Is Sole Proprietor?:No
Enumeration Date:2015-11-06
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71005935A363LF0000X
NM71723363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily