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General NPI Number Information
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NPI Number | 1952569832
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Entity Type | Individual
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Provider Name | KRIS JOANN MARQUIS MSN FNP-BC ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 7786 RIDGELAKE CIR
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City | BRADENTON
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State | FL
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Zip | 34203-2509
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Country | US
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Telephone | 941-828-5199
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Fax | 941-761-6188
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Provider Business Mailing Address
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Address Line | 7786 RIDGELAKE CIR
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City | BRADENTON
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State | FL
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Zip | 34203-2509
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Country | US
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Telephone | 608-206-5479
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Fax | 941-761-6188
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2258-033
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License Number State | WI
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