Lookup NPI Numbers from the NPI Registry
NPI Profile for THORA C MARK in DEDEDO, GU.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI Number | 1336658889 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 09/28/2017 | |
| Last updated | 02/16/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THORA C MARK
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THORA C MARK, NP-C