Individual
VINCENT MARCHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
6917 W BONNAIRE LOOP, COEUR D ALENE, ID 83815-0069
(760) 694-5291
Mailing address
6917 W BONNAIRE LOOP, COEUR D ALENE, ID 83815-0069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71036
ID
363L00000X
Nurse Practitioner
95017527
CA
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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