Smith, Marla Jane

Smith, Marla Jane is an individual health care provider with primary practice located at 5002 Twin Oaks Dr , Madison WI 53714-2734. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Smith, Marla Jane can be contacted via phone (608) 226-8919.

Contact Information

Primary practice address
5002 Twin Oaks Dr Madison WI 53714-2734
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X Wisconsin

Profile Details

NPI number 1467414656
LBN Legal business name Smith, Marla Jane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 9th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467414656 NPPES
West Virginia MEDICAID 39978600

Popular Providers