Healthcare Provider Details

I. General information

NPI: 1619385408
Provider Name (Legal Business Name): ANNA MARQUIS RN, MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 11/19/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 CROSSPOINT BLVD
EDINBURG TX
78539-1803
US

IV. Provider business mailing address

2102 TREASURE HILLS BLVD. #3.144.06
HARLINGEN TX
78550-8736
US

V. Phone/Fax

Practice location:
  • Phone: 956-296-1960
  • Fax: 956-381-5397
Mailing address:
  • Phone: 956-296-1437
  • Fax: 956-296-6842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberR65857
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP134000
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-02468
License Number StateNM
# 4
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberAP134000
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: