Most Relevant Information
Provider Data
| NPI Number: | 1003362088 |
| Provider Name: | MARCIA RENE KUCERA ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP60670980 |
Most Important Dates
| Enumeration Date: | 08/30/2016 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1420 ROOSEVELT AVE STE 4
MOUNT VERNON
WA
982732687
Practice Location Phone/Fax
| Phone: | 3608994086 |
| Fax: | 3608994124 |
Provider Mailing Location
800 APACHE DR
MOUNT VERNON
WA
982733752
Provider Mailing Phone/Fax
| Phone: | 3609412904 |
| Fax: |