Michele Ann Marks, Nurse Practitioner
Nurse Practitioner, Pediatrics in Tarzana, CA. Individual provider (NPI-1).
NPI number1891135596
StatusActive
Last updated in NPPESJun 27, 2013
Details
- NPI
- 1891135596
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michele Ann Marks
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2013
- Last updated
- Jun 27, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 520412 | CA | Yes |
Practice location
18425 Burbank BlvdSuite 719
Tarzana, CA 91356
Phone 818-342-0793
Mailing address
18425 Burbank BlvdSuite 719
Tarzana, CA 91356
Phone 818-342-0793
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