| Doctor Name: | MS. BRENDA MARQUARDT |
| NPI Number: | 1831196732 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.N.P. |
| License Number: | R28608 |
| Business Practice Address: | 314 Ohmer St Bottineau, ND - 583181045 |
| Business Phone Number: | 7012289400 |
| Business Fax Number: | 7012283245 |
| Mailing Address: | 314 Ohmer St, BOTTINEAU |
| State: | ND |
| Postal Code: | 583181045 |
| Phone Number: | 7012289400 |
| Fax Number: | 7012283245 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 10/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R28608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |