Marka Jane Dredla
Nurse Practitioner, Family in Portland, TX. Individual provider (NPI-1).
NPI number1154949600
StatusActive
Last updated in NPPESJul 10, 2020
Details
- NPI
- 1154949600
- Entity type
- Individual (NPI-1)
- Name
- Marka Jane Dredla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2020
- Certification date
- Jul 10, 2020
- Last updated
- Jul 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F06201250 | TX | Yes |
Practice location
277 Buddy Ganem Dr Ste APortland, TX 78374-3202
Phone 361-777-3900 · Fax 361-413-0274
Mailing address
277 Buddy Ganem Dr Ste APortland, TX 78374-3202
Phone 361-777-3900 · Fax 361-413-0274
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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