Provider Demographics
NPI:1669656070
Name:MARCELL, VINNIE NELL (APRN-BC)
Entity type:Individual
Prefix:MS
First Name:VINNIE
Middle Name:NELL
Last Name:MARCELL
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S. OLEANA AVE
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737
Mailing Address - Country:US
Mailing Address - Phone:225-290-5224
Mailing Address - Fax:
Practice Address - Street 1:170 SWAN AVE
Practice Address - Street 2:BLDG 170
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70807-4508
Practice Address - Country:US
Practice Address - Phone:225-771-3328
Practice Address - Fax:225-771-2349
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN078773 AP05331363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily