Individual
LINDA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 HOSPITAL LN STE 210, DANVILLE, IN 46122-1989
(317) 718-9040
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28140888A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007485A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008675
—
IN
01
—
P02078393
RR MEDICARE PTAN
IN
Enumeration date
08/16/2017
Last updated
06/14/2021
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