Individual
MARVIN CABILANGAN DEPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
625 N. 13TH WEST, NORTH COUNTRY HEALTHCARE, ST JOHNS, SAINT JOHNS, AZ 85936
(928) 337-3705
(928) 337-3780
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 233-5110
(928) 774-6687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3566
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516484
—
AZ
Enumeration date
04/30/2010
Last updated
10/22/2013
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