Individual provider · Type 1 NPI

Demetrius Marcoulides, NP

Gerontology Nurse Practitioner · Madison, WI

NPI number 1952887093 Active

Practice location

675 W Washington Ave
Madison, WI 53703-2637

Mailing address

1265 John Q Hammons Dr
Madison, WI 53717-1921

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X277.005052 (IL)

Gerontology Nurse Practitioner: Definition to come...

80 other providers at this address

Other gerontology nurse practitioner providers in Madison

See all in Madison →

About NPI 1952887093

Demetrius Marcoulides, NP's National Provider Identifier is 1952887093, issued on Jul 12, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Madison, WI. The record was last updated on Jul 29, 2026.