Provider Demographics
NPI:1477862670
Name:ASHCRAFT, MARCIA R (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:R
Last Name:ASHCRAFT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7640
Mailing Address - Street 2:
Mailing Address - City:RUIDOSO
Mailing Address - State:NM
Mailing Address - Zip Code:88355-7640
Mailing Address - Country:US
Mailing Address - Phone:575-973-2161
Mailing Address - Fax:
Practice Address - Street 1:104 HAMPSHIRE ROAD
Practice Address - Street 2:
Practice Address - City:RUIDOSO
Practice Address - State:NM
Practice Address - Zip Code:88345-7640
Practice Address - Country:US
Practice Address - Phone:575-464-4441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX505993163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse