Provider Demographics
NPI:1871118455
Name:MARBURGER, DENISE M (APRN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:MARBURGER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:8000 RON BEATTY BLVD STE B-5
Mailing Address - Street 2:
Mailing Address - City:MICCO
Mailing Address - State:FL
Mailing Address - Zip Code:32976-7471
Mailing Address - Country:US
Mailing Address - Phone:321-593-6999
Mailing Address - Fax:321-327-2262
Practice Address - Street 1:8255 N WICKHAM RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-0001
Practice Address - Country:US
Practice Address - Phone:321-473-6292
Practice Address - Fax:321-239-1585
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2024-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL11007470363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily