Provider Demographics
NPI:1992539852
Name:TROYER, MARIBETH (RN)
Entity type:Individual
Prefix:
First Name:MARIBETH
Middle Name:
Last Name:TROYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARIBETH
Other - Middle Name:
Other - Last Name:NISLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3503 PAESANOS PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1225
Mailing Address - Country:US
Mailing Address - Phone:210-492-8922
Mailing Address - Fax:210-479-2010
Practice Address - Street 1:400 MARQUETTE AVE NW STE B606
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2117
Practice Address - Country:US
Practice Address - Phone:505-602-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-31
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM85076207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine