| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARIETA MARCIAL | 1811095037 | 2024-03-20 |
Marieta Marcial is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811095037. Registration indicates Marieta Marcial is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mrs. Marieta Marcial RN, FNP |
| Practice Office Address | 560 E HERNDON AVE STE 201 FRESNO, CA US |
| Practice Office Telephone | 5594377304 |
| Practice Office Fax | 5594377308 |
| Mailing Address | PO BOX 28949 FRESNO, CA 937298949 US |
| Business Telephone | 5592285400 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1107 O St | Firebaugh, CA 936222224 | 5596599000 / 5596599017 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | NP 11638
CA |