Provider Demographics
NPI:1659771434
Name:MARQUEZ, ORLIN (APRN, FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:ORLIN
Middle Name:
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 PEACHTREE INDUSTRIAL BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5034
Mailing Address - Country:US
Mailing Address - Phone:678-585-4959
Mailing Address - Fax:
Practice Address - Street 1:3840 PEACHTREE INDUSTRIAL BLVD STE 250
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5034
Practice Address - Country:US
Practice Address - Phone:678-585-4959
Practice Address - Fax:470-395-9127
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN209008363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily