Provider Demographics
NPI:1427631373
Name:MARCHIE, CAROLINE N (APRN)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:N
Last Name:MARCHIE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:CAROLINE
Other - Middle Name:N
Other - Last Name:EJINDU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6915 WEST AVE
Mailing Address - Street 2:CLINIC 7306
Mailing Address - City:CASTLE HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1822
Mailing Address - Country:US
Mailing Address - Phone:210-341-1487
Mailing Address - Fax:
Practice Address - Street 1:2119 W GROVE LN
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8846
Practice Address - Country:US
Practice Address - Phone:214-738-9560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1019054363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily