Healthcare Provider Details

I. General information

NPI: 1417452848
Provider Name (Legal Business Name): NIURKA MARQUEZ GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 MAGAZINE ST
NEW ORLEANS LA
70130-5016
US

IV. Provider business mailing address

200 NORLAND AVE
NEW ORLEANS LA
70131-4044
US

V. Phone/Fax

Practice location:
  • Phone: 504-529-5558
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09894
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP09894
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: