NPI 1336658889

Thora C. Mark, NPC

Practitioner Family Nurse Practitioner Dededo, GU

Practice location

Address: 520 W Santa Monica Ave, Dededo, GU 96929-5286
Phone: (671) 635-7400
Mailing address: PO Box 5152, Mangilao, GU 96923-5152

Registered specialties (2)

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence NP0169 (GU)

Other Nurse Practitioner providers in Guam →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence RX0487 (GU)

Other Registered Nurse providers in Guam →

Registry record

NPI: 1336658889
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2017
Record last updated: 16 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.