Individual
MARY THERESE MEYERS-MARQUARDT
Active
Individual
MARY THERESE MEYERS-MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, ANP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
256947
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP-02624
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200646201
—
TX
01
—
519408YYH0
MEDICARE
NM
01
—
8Y5552
TEXAS BCBS
TX
Enumeration date
05/06/2006
Last updated
03/17/2018
Update your record
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