Molly Maenchen, MD
Pediatrics, Pediatric Cardiology in Albuquerque, NM. Individual provider (NPI-1).
NPI number1821521816
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1821521816
- Entity type
- Individual (NPI-1)
- Name
- Molly Maenchen
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2017
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | MD2023-0277 | NM | Yes |
| 208000000X | Pediatrics | MD2023-0277 | NM | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
201 Cedar St Se Ste 700Albuquerque, NM 87106-4905
Phone 505-563-6120
Mailing address
Po Box 26666Provider Enrollment
Albuquerque, NM 87125-6666
Phone 505-923-6770 · Fax 505-923-5354
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