MARILOU T QUIRK (NPI# 1770565608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770565608 |
| Entity Type | Individual |
| Full Name | MARILOU T QUIRK |
| Credential | NP-C |
| Practice Address |
6000 W County Road 400 N Muncie IN 47304-9057 |
| Mailing Address |
Po Box 452 Union City IN 47390-0452 |
| Practice Telephone | 7652899709 |
| Practice Fax Number | 7659644300 |
| Mailing Telephone | 7659644200 |
| Mailing Fax Number | 7659644300 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71001754A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BC/BS | 000000351540 | 01 |
| IN | 200494420A | 05 |
| Street Address |
6000 W COUNTY ROAD 400 N |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-9057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619426657 | Amy Leann Padgett | Nurse Practitioner | 3570 N Briarwood Ln, Muncie, IN 47304-5211 | 2016-10-03 |
| 1821479908 | Larissa Diane Watson | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2015-06-15 |
| 1336551951 | Lindsay Tapp | Nurse Practitioner | 333 S Madison St, Muncie, IN 47305-2465 | 2014-06-02 |
| 1174935068 | Christina F. Daniels | Nurse Practitioner | 333 S Madison St, Muncie, IN 47305-2465 | 2014-05-27 |
| 1861736688 | Kenneth A Havenstrite Jr. | Nurse Practitioner | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2012-11-16 |
| 1043562259 | Samuel W Mwangi | Nurse Practitioner | 333 S Madison St, Muncie, IN 47305-2465 | 2012-10-11 |
| 1144451014 | Jennifer Marie Bow | Nurse Practitioner | 2525 W University Ave, Suite 300, Muncie, IN 47303-3421 | 2009-07-27 |
| 1629269345 | Affordable Healthcare of East Central Indiana, Inc. | Nurse Practitioner | 7109 N Williamson Rd, Muncie, IN 47303-9510 | 2007-08-07 |
| 1538286224 | Joanna Sue Morris | Nurse Practitioner | 1500 Neeley Ave, Muncie, IN 47306-0001 | 2007-03-26 |
| 1639234974 | Susan Jane Macgilvray | Nurse Practitioner | 1500 Neeley Ave, Ball State University Student Health Center, Muncie, IN 47306-0001 | 2006-12-27 |
| Find all providers in MUNCIE | ||||
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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.