Shampine, Marla Anne

Shampine, Marla Anne is an individual health care provider with primary practice located at 25 Wilson St , Gouverneur NY 13642-1328. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Shampine, Marla Anne can be contacted via phone (315) 287-4300.

Contact Information

Primary practice address
25 Wilson St Gouverneur NY 13642-1328
Phone: (315) 287-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 318244-1 New York

Profile Details

NPI number 1346501129
LBN Legal business name Shampine, Marla Anne
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2012
Last updated Jun 7th, 2012 - about 12 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 1346501129 NPPES
New York MEDICAID 013-82127

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