Anne M Marquez, M.ED., ATC/L

Individual provider Active NPI Athletic Trainer · Notre Dame, IN

NPI 1659639615 · NPPES record last updated Apr 27, 2012

Key facts

NPI
1659639615
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
36001403A (IN)
Practice address
C113 Joyce Center
Notre Dame, IN 46556
Phone
(574) 631-7100
Fax
(574) 631-3207
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
36001403AINMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36001403A IN Yes

Addresses

Primary practice location

C113 Joyce Center
Notre Dame, IN 46556

Mailing address

C113 Joyce Center
Notre Dame, IN 46556
Phone (574) 631-7100

Other providers in Notre Dame, IN

All providers in Notre Dame, IN · Athletic Trainer in Indiana

Sources for this page

Verify at the official NPI Registry.