Renee Lara Marquez
Nurse Practitioner - Psychiatric/Mental Health
369 W Tiger Lily Dr
Big Bear City
, California 92314-9783
Renee Lara Marquez
Nurse Practitioner - Psychiatric/Mental Health
369 W Tiger Lily Dr
Big Bear City
, California 92314-9783
(909) 633-0287
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Renee Lara Marquez
- 369 W Tiger Lily Dr
- Big Bear City, CA
- Zip : 92314-9783
- Phone : (909) 633-0287
Second Address
- Renee Lara Marquez
- 369 W Tiger Lily Dr
- Big Bear City, CA
- Zip : 92314-9783
- Phone : (909) 633-0527
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Is Renee Lara Marquez a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 95007964 | CA |
National Provider Identifier
| NPI | 1033606512 |
|---|---|
| Provider Name | Renee Lara Marquez |
| First Address | Big Bear City, CA 92314-9783 |
| Second Address | Big Bear City, CA 92314-9783 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2018 |
| Last Update Date | 19/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.