Provider Demographics
NPI:1720541097
Name:MARQUEZ, MARIA SHEILA (RN)
Entity Type:Individual
Prefix:
First Name:MARIA SHEILA
Middle Name:
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7136 LAS PALMAS DR
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-2948
Mailing Address - Country:US
Mailing Address - Phone:909-997-4137
Mailing Address - Fax:
Practice Address - Street 1:7136 LAS PALMAS DR
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-2948
Practice Address - Country:US
Practice Address - Phone:909-997-4137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA563808163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics