Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Faviola Marin, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1598136350

Faviola Marin, AGPCNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices with McPherson Medical and Diagnostic LLC, a 85-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2015
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Practice location Address checks out

916 Olive St
Saint Louis, MO 63101-1459
Phone: (314) 436-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2015035373 (MO)

Record details

NPI number1598136350
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedOctober 19, 2015
Last updated in NPPESOctober 19, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice McPherson Medical And Diagnostic Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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