Individual
MIRANDA MARQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-8181
Mailing address
5650 ARBOR HILLS WAY APT 215, THE COLONY, TX 75056-5433
(469) 515-9140
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1049200
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
1049200
TX
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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