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

Marium Janicke

Individual provider Pediatric Registered Nurse · NPI 1134748395

Marium Janicke is a Pediatric Registered Nurse in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

212 Old Grande Blvd Ste A110
Tyler, TX 75703-4256
Phone: (903) 509-3742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence 741938 (TX)

Record details

NPI number1134748395
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020
Mailing address212 Old Grande Blvd Ste A110, Tyler, TX 75703-4256

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