Provider Demographics
NPI:1346546975
Name:MARQUIS, ESSENCE (RN)
Entity type:Individual
Prefix:
First Name:ESSENCE
Middle Name:
Last Name:MARQUIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 VAN BUREN ST
Mailing Address - Street 2:#4B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-2632
Mailing Address - Country:US
Mailing Address - Phone:646-314-2356
Mailing Address - Fax:
Practice Address - Street 1:1750 VAN BUREN ST
Practice Address - Street 2:#4B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-2632
Practice Address - Country:US
Practice Address - Phone:646-314-2356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-29
Last Update Date:2013-08-07
Deactivation Date:2012-10-09
Deactivation Code:
Reactivation Date:2013-08-07
Provider Licenses
StateLicense IDTaxonomies
NY635255163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse