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

Mr. Marcus Wayne Threadgill, RN

Individual provider Registered Nurse · NPI 1588810931

Mr. Marcus Wayne Threadgill, RN is a Registered Nurse in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2008
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

205 E Wildey St
Philadelphia, PA 19125-4136
Phone: (215) 687-7620
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN589196 (PA)

Record details

NPI number1588810931
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 15, 2008
Last updated in NPPESAugust 15, 2008
Mailing address205 E Wildey St, Philadelphia, PA 19125-4136

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