Provider Demographics
NPI:1477584357
Name:MARQUES, ANA PAULA (APRN-C)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:PAULA
Last Name:MARQUES
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:MRS
Other - First Name:ANA
Other - Middle Name:PAULA
Other - Last Name:MARQUES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN-C
Mailing Address - Street 1:1718 OAK BREEZE AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-2735
Mailing Address - Country:US
Mailing Address - Phone:407-460-3558
Mailing Address - Fax:407-785-1299
Practice Address - Street 1:7620 LAKE UNDERHILL RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8223
Practice Address - Country:US
Practice Address - Phone:407-460-3558
Practice Address - Fax:407-785-1299
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2780732363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner