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NPI Code Detail

MEDICARE: MARCI ROGER NP

MEDICARE: MARCI ROGER NP
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
1363LF0000XFamily Nurse Practitioner226182LA

General Provider Information

NPI Number : 1750014064
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCI ROGER NP
Provider Business Mailing Address
First Line : 148 WALL BLVD
Second Line :
City : GRETNA
State : LA
Zip : 70056-7107
Country : US
Telephone Number : 504-417-2134
Fax Number :
Provider Business Practice Location Address
First Line : 148 WALL BLVD
Second Line :
City : GRETNA
State : LA
Zip : 70056-7107
Country : US
Telephone Number : 504-393-2775
Fax Number : 504-393-2744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2022
Last Update Date : 06/16/2026

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Directions to “ MARCI ROGER NP” Practice Location

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