Provider Demographics
NPI:1881691046
Name:FLORES, MARCIA P (WHNP-BC)
Entity type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:P
Last Name:FLORES
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:991 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-3643
Mailing Address - Country:US
Mailing Address - Phone:831-636-3277
Mailing Address - Fax:831-636-3718
Practice Address - Street 1:991 4TH ST
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-3643
Practice Address - Country:US
Practice Address - Phone:831-636-3277
Practice Address - Fax:831-636-3718
Is Sole Proprietor?:No
Enumeration Date:2005-07-02
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN063643363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health