Individual provider · Type 1 NPI

Marvin Cabilangan Depas, FNP

Family Nurse Practitioner · St. Johns, AZ

NPI number 1306163258 Active

Practice location

625 N. 13th West, North Country Healthcare, St Johns
St. Johns, AZ 85936

Fax (928) 337-3780

Mailing address

PO Box 3630
Flagstaff, AZ 86003-3630

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP3566 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1306163258

Marvin Cabilangan Depas, FNP's National Provider Identifier is 1306163258, issued on Apr 30, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Johns, AZ. The record was last updated on Oct 22, 2013.