Provider Demographics
NPI:1619108933
Name:MARCOTTE, JOANNE P (CST/CFA)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:P
Last Name:MARCOTTE
Suffix:
Gender:F
Credentials:CST/CFA
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:P
Other - Last Name:GRAVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CST/CFA
Mailing Address - Street 1:627 25 1/2 RD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-6401
Mailing Address - Country:US
Mailing Address - Phone:970-242-3535
Mailing Address - Fax:970-683-2745
Practice Address - Street 1:627 25 1/2 RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-6401
Practice Address - Country:US
Practice Address - Phone:970-242-3535
Practice Address - Fax:970-683-2745
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant