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NPI Code Detail

MEDICARE: MS. MARQUITA REVEA RATLIFF

MEDICARE: MS. MARQUITA REVEA RATLIFF
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
1171M00000XCase Manager/Care CoordinatorIN

General Provider Information

NPI Number : 1558293928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARQUITA REVEA RATLIFF
Provider Business Mailing Address
First Line : 5751 GRANT ST APT 202
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-2464
Country : US
Telephone Number : 219-381-9198
Fax Number :
Provider Business Practice Location Address
First Line : 1502 SOUTHPARK CT
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-7489
Country : US
Telephone Number : 812-803-2673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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