Healthcare Provider Details

I. General information

NPI: 1578533642
Provider Name (Legal Business Name): KRISTIE NICOLE MARQUIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTIE NICOLE MARQUIS MD

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 ROCKVILLE PIKE STE 404
N BETHESDA MD
20852-3030
US

IV. Provider business mailing address

19735 GERMANTOWN RD STE 200
GERMANTOWN MD
20874-1217
US

V. Phone/Fax

Practice location:
  • Phone: 301-230-2280
  • Fax: 301-230-2245
Mailing address:
  • Phone: 301-230-2280
  • Fax: 301-230-2245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0067265
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: