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Individual

MARQUITA JOHNIKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
951 FOREST ST, DOVER, DE 19904-3401
(302) 643-3966
(302) 643-3969
Mailing address
951 FOREST ST, DOVER, DE 19904-3401
(302) 643-3966
(302) 643-3969

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
LP-0000178
DE
363LA2200X
Adult Health Nurse Practitioner
SP016557
PA

Other

Enumeration date
10/04/2016
Last updated
02/10/2024
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