Provider Demographics
NPI:1316101173
Name:BAQUIRAN, MARILYN N (LPN)
Entity type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:N
Last Name:BAQUIRAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 EAST 47TH STREET
Mailing Address - Street 2:APT 34D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-0000
Mailing Address - Country:US
Mailing Address - Phone:212-838-3246
Mailing Address - Fax:
Practice Address - Street 1:236 EAST 47TH STREET
Practice Address - Street 2:APT 34D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-0000
Practice Address - Country:US
Practice Address - Phone:212-838-3246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202570164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse