Basic Information
Provider Information
NPI: 1477056943
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BINION
FirstName: MARCIA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: PSYCHIATRIC ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1221 W LAKEVIEW AVE
Address2:  
City: PENSACOLA
State: FL
PostalCode: 325011857
CountryCode: US
TelephoneNumber: 8504693500
FaxNumber: 8505951400
Practice Location
Address1: 1221 W LAKEVIEW AVE
Address2:  
City: PENSACOLA
State: FL
PostalCode: 32501
CountryCode: US
TelephoneNumber: 8504693500
FaxNumber: 8505951400
Other Information
ProviderEnumerationDate: 03/12/2018
LastUpdateDate: 07/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XARNP2165822FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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