Provider Demographics
NPI:1750883443
Name:OSCAR, MARCELINE (BSN, RN)
Entity type:Individual
Prefix:MS
First Name:MARCELINE
Middle Name:
Last Name:OSCAR
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 BREANNA WAY
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-8434
Mailing Address - Country:US
Mailing Address - Phone:786-459-9678
Mailing Address - Fax:
Practice Address - Street 1:2113 N HIGHWAY 175
Practice Address - Street 2:
Practice Address - City:SEAGOVILLE
Practice Address - State:TX
Practice Address - Zip Code:75159-2237
Practice Address - Country:US
Practice Address - Phone:972-287-2911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9377964163W00000X
TX909084163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse