Most Relevant Information
Provider Data
| NPI Number: | 1003464181 |
| Provider Name: | AMBER MARROQUIN NNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LN0005X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704306951 |
Most Important Dates
| Enumeration Date: | 08/31/2019 |
| Last Updated: | 03/09/2023 |
Provider Practice Location
2799 W GRAND BLVD
DETROIT
MI
482022608
Practice Location Phone/Fax
| Phone: | 8006536568 |
| Fax: |
Provider Mailing Location
1 FORD PL STE 3A
DETROIT
MI
482023450
Provider Mailing Phone/Fax
| Phone: | 3138744806 |
| Fax: |