Marilyn J. McClure

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

C148295 Issued in CA

Legal business name

MARILYN J. MCCLURE

Practice address

3536 Mendocino Ave
Suite 360
Santa Rosa, CA 95403-3634

Phone

(707) 577-7800

NPI assigned

Mar 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marilyn Jeanne McClure, MSN-FNP

Title

Family Nurse Practitioner

Phone

(707) 986-7176

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689635724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 SEAFOAM RD",
            "city": "SHELTER COVE",
            "state": "CA",
            "postal_code": "955899107",
            "telephone_number": "707-986-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE",
            "address_2": "SUITE 360",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033634",
            "telephone_number": "707-577-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN J. MCCLURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "707-986-7176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN-FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "C148295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INSURANCE CO",
            "identifier": "NP0131510",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Margarit
• Eric Joseph Margolis, M.D.
• Joshua Margolis, L.AC.
• Joshua Todor Marian, DPT
• Larry Marianella, M.D.
• Marin Apothecaries
• Marin Apothecaries
• Marin Apothecaries
• Marin Medical Laboratories
• Anna Irene Marincovich, PT

• Family Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.