MARCUS FAIRCLOUGH LPN
NPI 1194024273
Licensed Practical Nurse in Bronx, NY

Active since March 15, 2011
2995 BOTANICAL SQ, APT-3R, BRONX, NY 10458(718) 671-2100 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marcus Fairclough Lpn NPPES

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

MARCUS FAIRCLOUGH LPN (NPI 1194024273) is an individual licensed practical nurse in Bronx, New York, licensed in New York (304345) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1194024273
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMARCUS FAIRCLOUGHCredential: LPN
Location Address2995 BOTANICAL SQ, APT-3RBronx, NY 10458-2429
Mailing Address2995 Botanical Sq, Apt-3rBronx, NY 10458-2429 · (718) 671-2100
Sole ProprietorYes
Enumeration DateMarch 15, 2011
NPI 1194024273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 304345
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2995 BOTANICAL SQ, Bronx, NY 10458

Other Providers at the Same Location NPPES

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

Licensed Practical Nurse
2995 BOTANICAL SQ, APT. 3R
BRONX, NY 10458

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 Marcus Fairclough's NPI number?

The NPI number for Marcus Fairclough is 1194024273. It was assigned to this individual provider in the NPPES registry on March 15, 2011.

Where is Marcus Fairclough located?

Marcus Fairclough practices at 2995 Botanical Sq Apt-3r, Bronx, NY 10458. The listed phone number is (718) 671-2100.

What is Marcus Fairclough's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marcus Fairclough was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.