MEDICARE: MS. MARJA DEMPSEY AGACNP-BC, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	298139	AZ
2	363LA2100X	Acute Care Nurse Practitioner	18427	CA
3	364SA2100X	Acute Care Clinical Nurse Specialist	5016326	NC
4	363LA2100X	Acute Care Nurse Practitioner	AP60081460	WA
5	363LF0000X	Family Nurse Practitioner	AP60081460	WA
6	363LF0000X	Family Nurse Practitioner	NP 18427	CA

General Provider Information

NPI Number	:	1386893253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARJA DEMPSEY AGACNP-BC, FNP

Provider Business Mailing Address
First Line	:	295 LAFAYETTE ST 7TH
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10012
Country	:	US
Telephone Number	:	855-613-0778
Fax Number	:

Provider Business Practice Location Address
First Line	:	3202 E GREENWAY RD STE 1401
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4511
Country	:	US
Telephone Number	:	602-325-5577
Fax Number	:	415-252-7176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2008
Last Update Date	:	08/12/2025

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