Individual provider · Type 1 NPI
Michele Ann Marks, NURSE PRACTITIONER
Pediatric Nurse Practitioner · Tarzana, CA
NPI number
1891135596
Active
Practice location
18425 Burbank Blvd, Suite 719
Tarzana, CA 91356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 520412 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1891135596
Michele Ann Marks, NURSE PRACTITIONER's National Provider Identifier is 1891135596, issued on Jun 27, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tarzana, CA. The record was last updated on Jun 27, 2013.