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MISS MARY A MARVIN ACNS BC
NPI 1336429950
Clinical Nurse Specialist - Adult Health in Peoria, IL

Active since August 26, 2011
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 671-1539(309) 671-7528 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Mary A Marvin Acns Bc NPPES

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

MISS MARY A MARVIN ACNS BC (NPI 1336429950) is an individual adult health provider in Peoria, Illinois, licensed in Illinois (041290023) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1336429950
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameMISS MARY A MARVINCredential: ACNS BC
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address100 Appellate CtEast Peoria, IL 61611-1402 · (309) 698-1195
Phone(309) 671-1539
Fax(309) 671-7528
Sole ProprietorYes
Enumeration DateAugust 26, 2011
✔ NPI 1336429950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in IL · 041290023
530 NE GLEN OAK AVE, Peoria, IL 61637
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Other Providers at the Same Location NPPES 20

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

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Marvin's NPI number?

The NPI number for Mary Marvin is 1336429950. It was assigned to this individual provider in the NPPES registry on August 26, 2011.

Where is Mary Marvin located?

Mary Marvin practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 671-1539.

What is Mary Marvin's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Mary Marvin was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.