Brecken-Marquis, Vera E

Brecken-Marquis, Vera E is an individual health care provider with primary practice located at 1315 Nw 21St Ave , Chiefland FL 32626-1978. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brecken-Marquis, Vera E can be contacted via phone (352) 490-5100.

Contact Information

Primary practice address
1315 Nw 21St Ave Chiefland FL 32626-1978
Phone: (352) 490-5100
Fax: (352) 490-5103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9256439 Florida

Profile Details

NPI number 1235586231
LBN Legal business name Brecken-Marquis, Vera E
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2016
Last updated Mar 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235586231 NPPES
Florida Other ARNP9256439 BOARD OF HEALTH
Florida Other RN9256439 BOARD OF HEALTH
Florida MEDICAID 018470300 BOARD OF HEALTH

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