MR. MARC B DELISLE


Address: 7660 E Mckellips Rd, Lot 80, Scottsdale, AZ 85257-4624
Phone: 4802145401

MR. MARC B DELISLE (NPI# 1710278346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710278346
Entity Type Individual
Full Name MR. MARC B DELISLE
Credential RN
Practice Address 7660 E Mckellips Rd
Lot 80
Scottsdale
AZ 85257-4624
Practice Telephone 4802145401
Practice Fax Number 4802145401
Mailing Telephone 4802145401
Mailing Fax Number 4802145401
Enumeration Date 2011-04-30
Last Update Date 2011-04-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
RN117104 AZ Nursing Service Providers
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
RN117104 AZ Nursing Service Providers

Office Location

Street Address 7660 E MCKELLIPS RD
LOT 80
City SCOTTSDALE
State AZ
Zip Code 85257-4624

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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Competitor

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City SCOTTSDALE
Zip Code 85257

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Dataset Information

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.

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