Van Tassell, Marla Jean

Van Tassell, Marla Jean is an individual health care provider with primary practice located at 414 Shoup Ave W Ste B , Twin Falls ID 83301-5042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Van Tassell, Marla Jean can be contacted via phone (208) 814-9100.

Contact Information

Primary practice address
414 Shoup Ave W Ste B Twin Falls ID 83301-5042
Phone: (208) 814-9100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-1662A Idaho

Profile Details

NPI number 1801266572
LBN Legal business name Van Tassell, Marla Jean
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2015
Last updated Feb 23rd, 2021 - about 3 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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