Individual
DOMINIQUE MARQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
904 SUMNEYTOWN PIKE STE 100, LOWER GWYNEDD, PA 19002-1321
(215) 542-0655
Mailing address
904 SUMNEYTOWN PIKE STE 100, LOWER GWYNEDD, PA 19002-1321
(215) 542-0655
(215) 542-1448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021835
PA
Other
Enumeration date
04/22/2020
Last updated
08/31/2021
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