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NPI Code Detail

MEDICARE: SUSANA MARQUEZ FNP-BC

MEDICARE:   SUSANA  MARQUEZ  FNP-BC
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 Practitioner95030729CA

General Provider Information

NPI Number : 1902618333
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANA MARQUEZ FNP-BC
Provider Business Mailing Address
First Line : 3724 ROXANNE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-2341
Country : US
Telephone Number : 562-316-4995
Fax Number :
Provider Business Practice Location Address
First Line : 3724 ROXANNE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-2341
Country : US
Telephone Number : 562-316-4995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2025
Last Update Date : 01/22/2025

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Directions to “ SUSANA MARQUEZ FNP-BC” Practice Location

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