Healthcare Provider Details

I. General information

NPI: 1952217234
Provider Name (Legal Business Name): SHEILA MARQUEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 CLEMENT ST
SAN FRANCISCO CA
94121-1563
US

IV. Provider business mailing address

1410 GREENFIELD CIR
PINOLE CA
94564-2138
US

V. Phone/Fax

Practice location:
  • Phone: 313-485-9648
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD1100X
TaxonomyPeritoneal Dialysis Registered Nurse
License Number4704205927
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: