Porche, Marquita Denise

Porche, Marquita Denise is an sole proprietor health care provider with primary practice located at 16750 80Th Ave Ste D , Tinley Park IL 60477-3174. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Porche, Marquita Denise can be contacted via phone (773) 368-5619.

Contact Information

Primary practice address
16750 80Th Ave Ste D Tinley Park IL 60477-3174
Phone: (773) 368-5619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041372719 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209027519 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209027519 Illinois

Profile Details

NPI number 1326723578
LBN Legal business name Porche, Marquita Denise
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2023
Last updated Jan 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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