Individual
MARCIA L DENINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
245 EDGARTOWN VINEYARD HAVEN RD, EDGARTOWN, MA 02539-6941
(508) 627-5797
(508) 627-5799
Mailing address
PO BOX 1619, WEST TISBURY, MA 02575-1619
(508) 627-5797
(508) 627-5799
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
250377
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0711101
—
MA
Enumeration date
10/13/2006
Last updated
09/06/2023
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