Provider Demographics
NPI:1932913258
Name:MARQUEZ, ATHENABERNETTE ESPIRITU (LVN)
Entity type:Individual
Prefix:
First Name:ATHENABERNETTE
Middle Name:ESPIRITU
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 TANOAK ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-3092
Mailing Address - Country:US
Mailing Address - Phone:669-900-2859
Mailing Address - Fax:
Practice Address - Street 1:555 TANOAK ST
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-3092
Practice Address - Country:US
Practice Address - Phone:669-900-2859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA748013164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse