Healthcare Provider Details

I. General information

NPI: 1497383186
Provider Name (Legal Business Name): ZOE J MARCUS CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 EWAN RD # E1
MULLICA HILL NJ
08062-3707
US

IV. Provider business mailing address

412 EWAN RD STE B
MULLICA HILL NJ
08062-3707
US

V. Phone/Fax

Practice location:
  • Phone: 856-341-8474
  • Fax:
Mailing address:
  • Phone: 856-341-8474
  • Fax: 856-325-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00095301
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010573
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: