Provider Demographics
NPI:1790002772
Name:FINDSPLACES, MARY
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:FINDSPLACES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 GLENDORA
Mailing Address - Street 2:PO BOX 342
Mailing Address - City:VEGUITA
Mailing Address - State:NM
Mailing Address - Zip Code:87062-9606
Mailing Address - Country:US
Mailing Address - Phone:505-814-8608
Mailing Address - Fax:
Practice Address - Street 1:2600 MARBLE AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2058
Practice Address - Country:US
Practice Address - Phone:505-272-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR46689163W00000X, 261QM0850X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163W00000XNursing Service ProvidersRegistered Nurse
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health