Doctor Name: | MARILYN BOKEMEIER |
NPI Number: | 1003969700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 391947 |
Business Practice Address: | 2025 E Dakota Ave Room 230 Fresno, CA - 937264804 |
Business Phone Number: | 5594535755 |
Business Fax Number: | 5594534736 |
Mailing Address: | 2025 E Dakota Ave Rm 230, FRESNO |
State: | CA |
Postal Code: | 937264804 |
Phone Number: | 5594535755 |
Fax Number: | 5594534736 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 391947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |