Provider Demographics
NPI:1447423298
Name:MARKER, IRENE RODRIGUEZ (NP)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:RODRIGUEZ
Last Name:MARKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8536 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3103
Mailing Address - Country:US
Mailing Address - Phone:310-423-2077
Mailing Address - Fax:310-248-8252
Practice Address - Street 1:8536 WILSHIRE BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3103
Practice Address - Country:US
Practice Address - Phone:310-423-2077
Practice Address - Fax:310-248-8252
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA438309363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine