Provider Demographics
NPI:1891071155
Name:MARCUS, SERENA HOLDER (RN, ACNP-BC)
Entity Type:Individual
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First Name:SERENA
Middle Name:HOLDER
Last Name:MARCUS
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Gender:F
Credentials:RN, ACNP-BC
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Mailing Address - Street 1:61 WHITCHER ST NE
Mailing Address - Street 2:SUITE 3110
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1176
Mailing Address - Country:US
Mailing Address - Phone:770-422-2326
Mailing Address - Fax:770-422-7797
Practice Address - Street 1:61 WHITCHER ST NE
Practice Address - Street 2:SUITE 3110
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060
Practice Address - Country:US
Practice Address - Phone:770-422-2326
Practice Address - Fax:770-422-7797
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2018-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN160363363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care