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Marilyn J. Mcclure
Family Nurse Practitioner in Santa Rosa, California
NPI 1689635724

Marilyn J. Mcclure is a Family Nurse Practitioner based in Shelter Cove, CA and is specialized in Family. Marilyn J. Mcclure practices in Santa Rosa, CA. The NPI Number for Marilyn J. Mcclure is 1689635724 and holds a License No. C148295 (California).

The current practice location address for Marilyn J. Mcclure is 3536 Mendocino Ave, Santa Rosa, CA and can be reached out via phone at 707-577-7800.

Location: 3536 Mendocino Ave, Santa Rosa, CA, 95589-9107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689635724
Provider Name
Marilyn J. Mcclure
Credential
Provider Entity Type
Organization
Address
3536 Mendocino Ave, Santa Rosa, CA, 95589-9107
Phone Number
707-577-7800
Fax Number
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0131510 01 BLUE SHIELD INSURANCE CO
institution
Provider Business Practice Location Address Details
Address
3536 Mendocino Ave
City
Santa Rosa
State
California
Zip
95403-3634
Phone Number
707-577-7800
Fax Number
person
Provider Business Mailing Address Details
Address
3536 Mendocino Ave
City
Santa Rosa
State
California
Zip
95403-3634
Phone Number
707-577-7800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
C148295 (California)
Definition
Definition to come...
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