MARY MARQUIS (NPI# 1104244623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104244623 |
| Entity Type | Individual |
| Full Name | MARY MARQUIS |
| Practice Address |
669 E Myrtle Ave Trevose PA 19053-4640 |
| Mailing Address |
2778 Patty Ln Warrington PA 18976-2077 |
| Practice Telephone | 2153648412 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP012815 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023317948 | Mary Marquis | Pharmacist | 314 Rolkin Rd, Charlottesville, VA 22911-3556 | 2011-03-17 |
| 1669440731 | Mary E. Marquis | Nurse Practitioner | 3142 Vista Way, #206 Healthlink Medical Center, Oceanside, CA 92056 | 2006-03-14 |
| Street Address |
669 E MYRTLE AVE |
| City | TREVOSE |
| State | PA |
| Zip Code | 19053-4640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942555636 | Therese Yoneko Parker | Registered Nurse | 669 E Myrtle Ave, Trevose, PA 19053-4640 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710451539 | For Eyes Optical of Pa | Optometrist | 186 West Street Road, Feasterville, PA 19053 | 2019-01-15 |
| 1881181410 | Linda S Linden | Massage Therapist | 333 Steele Rd, Feasterville, PA 19053 | 2018-04-19 |
| 1336671619 | Marsela Ismailanji | Behavioral Analyst | 4 Neshaminy Interplex Drive, Suite 202, Trevose, PA 19053 | 2017-03-28 |
| 1194189019 | Kathleen A Gant | Nurse Practitioner | 4829 Street Rd, Trevose, PA 19053 | 2016-04-06 |
| 1801263165 | Kristi Ann Wert | Nurse Practitioner | 4829 E. Street Rd, Trevose, PA 19053 | 2015-08-21 |
| 1841675113 | Marlene Lisa Levis | Pharmacist | 176 West Street Road, Feasterville, PA 19053 | 2015-07-28 |
| 1578802229 | Colleen Joan Garneau | Registered Nurse | 2500 N Gate Rd, Trevose, PA 19053 | 2013-01-31 |
| 1225306376 | Michael J Fanelli | Pharmacist | 2 E. Street Rd, Feasterville, PA 19053 | 2011-12-05 |
| 1053689125 | Yuliya Peskin | Pharmacist | 2 E Street Road, Walgreens, Feasterville, PA 19053 | 2011-12-05 |
| 1891000584 | Justin T Jiunta | Physical Therapist | 1040 Mill Creek Drive, Feasterville, PA 19053 | 2010-08-18 |
| Find all providers in zip 19053 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.