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Contact Information

MARVIN C DEPAS, FNP
625 N. 13TH WEST
NORTH COUNTRY HEALTHCARE, ST JOHNS
SAINT JOHNS, AZ85936
 Phone: 928-337-3705
 Fax: 928-337-3780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARVIN C DEPAS · (Male)

NPI # 1306163258
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/30/2010
Last updated 10/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # AP3566
  • AZ Medicaid 516484
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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