Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisela Ann Dallman, CNP

Individual provider Women's Health Nurse Practitioner · NPI 1194677724

Marisela Ann Dallman, CNP is a Nurse Practitioner in Santa Fe, New Mexico. Qualified in 2025, 1 year ago. Licensed in New Mexico.

Years since qualifying
1
Licensed in
NM
In the registry since
2026
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4801 Beckner Rd Ste 2650
Santa Fe, NM 87507-3641
Phone: (505) 772-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 68201 (NM)

Record details

NPI number1194677724
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 14, 2026
Last updated in NPPESFebruary 14, 2026
Certification dateFebruary 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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