MARILYN J. MCCLURE NPI 1689635724

NPI Information

NPI: 1689635724
Provider Name: MARILYN J. MCCLURE
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Organization
Address: 3536 MENDOCINO AVE
SUITE 360
SANTA ROSA, CA
ZIP 95403
Phone: (707) 577-7800

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NPI Details

MARILYN J. MCCLURE is a family nurse practitioner in Santa Rosa, CA. MARILYN J. MCCLURE NPI is 1689635724. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3536 MENDOCINO AVE
SUITE 360
SANTA ROSA, CA
ZIP 95403-634
Phone: (707) 577-7800

The provider's authorized official is Marilyn Jeanne Mcclure .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (707) 986-7176.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	C148295	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP0131510	OTHER		BLUE SHIELD INSURANCE CO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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