Harris, Marlena Jo

Harris, Marlena Jo is an individual health care provider with primary practice located at 128 1/2 East Point Drive , Charleston WV 25311. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Harris, Marlena Jo can be contacted via phone (304) 925-2266.

Contact Information

Primary practice address
128 1/2 East Point Drive Charleston WV 25311
Phone: (304) 925-2266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 42882 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 42882 West Virginia

Profile Details

NPI number 1720036965
LBN Legal business name Harris, Marlena Jo
Credentials MSN,APRN,BC,CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 13th, 2009 - about 15 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 1720036965 NPPES
West Virginia MEDICAID 3810001280

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