Provider Demographics
NPI:1538590021
Name:MARCHEFKA, LAUREN J (FNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:J
Last Name:MARCHEFKA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:J
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:7811 INCEPTION WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-5122
Mailing Address - Country:US
Mailing Address - Phone:442-222-9884
Mailing Address - Fax:
Practice Address - Street 1:7811 INCEPTION WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-5122
Practice Address - Country:US
Practice Address - Phone:442-222-9884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-09
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000148363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily