Healthcare Provider Details

I. General information

NPI: 1447701602
Provider Name (Legal Business Name): TRINIDAD R MARQUEZ APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 05/19/2022
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E FLORIDA AVE
MIDLAND TX
79701-8212
US

IV. Provider business mailing address

801 E FLORIDA AVE
MIDLAND TX
79701-8212
US

V. Phone/Fax

Practice location:
  • Phone: 432-685-0450
  • Fax: 432-685-0459
Mailing address:
  • Phone: 432-685-0450
  • Fax: 432-685-0459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP132704
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: