Porche, Marquita Denise
Porche, Marquita Denise is an sole proprietor health care provider with primary practice located at 16750 80Th Ave Ste D , Tinley Park IL 60477-3174. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Porche, Marquita Denise can be contacted via phone (773) 368-5619.Contact Information
Primary practice address
16750 80Th Ave Ste D
Tinley Park IL 60477-3174
Phone: (773) 368-5619
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 041372719 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209027519 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209027519 | Illinois |
Profile Details
NPI number | 1326723578 |
---|---|
LBN Legal business name | Porche, Marquita Denise |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 15th, 2023 |
Last updated | Jan 10th, 2024 - about last year |
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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