MEDICARE: MARIAH VICTORIA MARQUEZ BROWN BSN, RN

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	163WW0101X	Ambulatory Women's Health Care Registered Nurse	350999	NC

General Provider Information

NPI Number	:	1609719343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAH VICTORIA MARQUEZ BROWN BSN, RN

Provider Business Mailing Address
First Line	:	138 OLD FORESTER ST
Second Line	:
City	:	GARNER
State	:	NC
Zip	:	27529-3393
Country	:	US
Telephone Number	:	571-926-0737
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 ARRINGDON PARK DR STE 430
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5677
Country	:	US
Telephone Number	:	919-997-3000
Fax Number	:	919-997-3001

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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