Provider Demographics
NPI:1578059457
Name:LAMARQUE, MARJORIE ETIENNE (FNP)
Entity Type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:ETIENNE
Last Name:LAMARQUE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 CLARKSON AVE # 90
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2012
Mailing Address - Country:US
Mailing Address - Phone:347-461-2561
Mailing Address - Fax:718-270-4243
Practice Address - Street 1:450 CLARKSON AVE # 90
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2012
Practice Address - Country:US
Practice Address - Phone:718-270-4078
Practice Address - Fax:718-270-4243
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-03
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF343658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily