Provider Demographics
NPI:1730968587
Name:LOEHR, MARY
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:LOEHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SKIP
Other - Middle Name:
Other - Last Name:LOEHR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:334 W ZIA RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-5723
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4253 MONTGOMERY BLVD NE STE G130
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1106
Practice Address - Country:US
Practice Address - Phone:505-554-1283
Practice Address - Fax:505-207-6167
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171M00000XOther Service ProvidersCase Manager/Care Coordinator