Healthcare Provider Details

I. General information

NPI: 1720619323
Provider Name (Legal Business Name): RACHEL MARIE MARKS APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2020
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3528 ANCHOR BAY TRL
BRADENTON FL
34211-3454
US

IV. Provider business mailing address

3528 ANCHOR BAY TRL
BRADENTON FL
34211-3454
US

V. Phone/Fax

Practice location:
  • Phone: 941-224-1850
  • Fax:
Mailing address:
  • Phone: 941-224-1850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11032401
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5379374011
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0101499
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024190070
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP002825
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2020001066
License Number StateMO
# 7
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number308867
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: