Provider Demographics
NPI:1093067134
Name:MARCHI, KATIE E (ADULT NURSE PRACTITI)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:E
Last Name:MARCHI
Suffix:
Gender:F
Credentials:ADULT NURSE PRACTITI
Other - Prefix:MS
Other - First Name:KATIE
Other - Middle Name:E
Other - Last Name:BATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ADULT NURSE PRACTITI
Mailing Address - Street 1:158 EAST 84TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028
Mailing Address - Country:US
Mailing Address - Phone:212-535-6340
Mailing Address - Fax:212-535-2618
Practice Address - Street 1:158 E 84TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2005
Practice Address - Country:US
Practice Address - Phone:212-535-6340
Practice Address - Fax:212-535-2618
Is Sole Proprietor?:No
Enumeration Date:2012-10-14
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306097363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health