NPI 1922985308 · live from the CMS NPI Registry
Marcquan Adderly
Nurse Practitioner in Plantation, FL. National Provider Identifier 1922985308, active.
NPI record
| NPI | 1922985308 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 8320 W Sunrise Blvd Ste 208, Plantation, FL 33322 |
| Practice phone | 800-640-3451 |
| Mailing address | Po Box 1200, Pleasant Grove, UT 84062 |
| Enumerated | August 19, 2025 |
| Last updated | July 30, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | APRN11041746 (FL) |
| Nurse Practitioner, Family | 363LF0000X | APRN11041746 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.