Provider Demographics
NPI:1326746959
Name:ALLTMARC INTEGRATIVE CARE PLLC
Entity Type:Organization
Organization Name:ALLTMARC INTEGRATIVE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIC MENTAL HEALTH NP
Authorized Official - Prefix:
Authorized Official - First Name:TOYIN
Authorized Official - Middle Name:OMOBOLA
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:954-854-7757
Mailing Address - Street 1:7959 N THORNYDALE RD STE 90181
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-1443
Mailing Address - Country:US
Mailing Address - Phone:954-854-7757
Mailing Address - Fax:
Practice Address - Street 1:7959 N THORNYDALE RD STE 90181
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-1443
Practice Address - Country:US
Practice Address - Phone:954-854-7757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty