Provider Demographics
NPI:1609873355
Name:HEFKER, MARCIA LOUISE (PMHNP-BC, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:LOUISE
Last Name:HEFKER
Suffix:
Gender:F
Credentials:PMHNP-BC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8206 LOUISIANA BLVD, STE A 1701
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113
Mailing Address - Country:US
Mailing Address - Phone:505-225-3020
Mailing Address - Fax:505-212-5265
Practice Address - Street 1:1400 S 2ND STREET
Practice Address - Street 2:
Practice Address - City:RATON
Practice Address - State:NM
Practice Address - Zip Code:87740
Practice Address - Country:US
Practice Address - Phone:505-225-3020
Practice Address - Fax:505-212-5265
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP00722363LF0000X, 363LP0808X
NMR34642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily