Provider Demographics
NPI:1467915934
Name:MARQUEZ, DANIELLE ANN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:ANN
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 93RD ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-3640
Mailing Address - Country:US
Mailing Address - Phone:806-252-3411
Mailing Address - Fax:
Practice Address - Street 1:1802 E 50TH ST UNIT 110
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79404-4006
Practice Address - Country:US
Practice Address - Phone:806-702-4988
Practice Address - Fax:806-702-4989
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF09180289363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily