Conley, Marla K

Conley, Marla K is an sole proprietor health care provider with primary practice located at 4121 Dutchmans Ln Ste 301 , Louisville KY 40207-4721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Conley, Marla K can be contacted via phone (502) 896-2500.

Contact Information

Primary practice address
4121 Dutchmans Ln Ste 301 Louisville KY 40207-4721
Phone: (502) 896-2500
Fax: (502) 896-2527
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 35350337 New York
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 3007985 Kentucky

Profile Details

NPI number 1811262371
LBN Legal business name Conley, Marla K
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2012
Last updated Jul 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811262371 NPPES
Indiana MEDICAID 201207180
Indiana MEDICAID 7100254940

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