Individual provider · Type 1 NPI
Marissa Manipud Marquez, DNP, FNP, RN
Primary Care Nurse Practitioner · Cannon Afb, NM
NPI number
1992211478
Active
Practice location
224 W.d. L Ingram Avenue, Bldg 1408
Cannon Afb, NM 88103
Mailing address
27th Special Operations Medical Group, 224 W.d. L Ingram Avenue, Bldg 1408
Cannon Afb, NM 88103
Other practice locations
- 26501 Avenue 140, Porterville, CA 93257-9109 · (559) 782-2153
- 19005 Wileys Well Rd, Blythe, CA 92225-2287 · (760) 921-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95008125 (CA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | NP95008125 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Cannon Afb
About NPI 1992211478
Marissa Manipud Marquez, DNP, FNP, RN's National Provider Identifier is 1992211478, issued on Dec 20, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Cannon Afb, NM. The record was last updated on Apr 22, 2025.