MARIE L BENSULOCK PA-C
NPI 1841524006
Physician Assistant - Medical in Albuquerque, NM
Active since September 21, 2009
About Marie L Bensulock Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIE L BENSULOCK PA-C (NPI 1841524006) is an individual medical provider in Albuquerque, New Mexico, licensed in New Mexico (PA2008-0001) and active in the NPI registry since September 2009.
NPPES Registry Identity
NPI1841524006
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARIE L BENSULOCKCredential: PA-C
Location Address803 TIJERAS AVE NWAlbuquerque, NM 87102-3096
Mailing Address8100 Barstow St Ne Apt 13104Albuquerque, NM 87122-2876 · (505) 508-0701
Phone(505) 243-2223
Sole ProprietorNo
Enumeration DateSeptember 21, 2009
✔ NPI 1841524006 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NM · PA2008-0001
803 TIJERAS AVE NW, Albuquerque, NM 87102
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor
803 TIJERAS AVE NW
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841524006, enumerated as an "individual" on September 21, 2009.
The provider is located at 803 TIJERAS AVE NW ALBUQUERQUE, NM 87102 and the phone number is (505) 243-2223.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
