MARY MARQUIS
NPI 1104244623
Nurse Practitioner - Gerontology in Trevose, PA

Active since April 01, 2014
669 E MYRTLE AVE, TREVOSE, PA 19053(215) 364-8412 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Marquis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MARQUIS (NPI 1104244623) is an individual gerontology provider in Trevose, Pennsylvania, licensed in Pennsylvania (SP012815) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1104244623
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY MARQUIS
Location Address669 E MYRTLE AVETrevose, PA 19053-4640
Mailing Address2778 Patty LnWarrington, PA 18976-2077
Sole ProprietorYes
Enumeration DateApril 1, 2014
NPI 1104244623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in PA · SP012815
669 E MYRTLE AVE, Trevose, PA 19053

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
669 E MYRTLE AVE
TREVOSE, PA 19053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Marquis's NPI number?

The NPI number for Mary Marquis is 1104244623. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Mary Marquis located?

Mary Marquis practices at 669 E Myrtle Ave, Trevose, PA 19053. The listed phone number is (215) 364-8412.

What is Mary Marquis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Mary Marquis was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.