Healthcare Provider Details

I. General information

NPI: 1902730294
Provider Name (Legal Business Name): PATRICIA MARQUEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 PLAZA PROPERTIES BLVD
COLUMBUS OH
43219-1531
US

IV. Provider business mailing address

1857 STORROW DR
LEWIS CENTER OH
43035-7084
US

V. Phone/Fax

Practice location:
  • Phone: 614-383-6000
  • Fax:
Mailing address:
  • Phone: 614-383-6000
  • Fax: 614-383-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN502203
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberRN502203
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: