Culley, Marlene

Culley, Marlene is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Culley, Marlene can be contacted via phone (860) 679-3107.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Fax: (860) 679-1843
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 001212 Connecticut

Profile Details

NPI number 1417005786
LBN Legal business name Culley, Marlene
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Apr 4th, 2013 - about 11 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 1417005786 NPPES
Connecticut MEDICAID 1417005786

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