Individual
VINCENT MARCHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C, PMHNP-BC
Contact information
Practice address
610 W HUBBARD AVE STE 124, COEUR D ALENE, ID 83814-2286
(208) 777-2169
Mailing address
610 W HUBBARD AVE STE 124, COEUR D ALENE, ID 83814-2286
(208) 777-2169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71036
ID
363L00000X
Nurse Practitioner
95017527
CA
363L00000X
Nurse Practitioner
AP70080480
WA
Other
Enumeration date
03/14/2022
Last updated
08/06/2026
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