Wood, Marlene Ann
Wood, Marlene Ann is an individual health care provider with primary practice located at 1411 State Hwy 79 East , Elbow Lake MN 56531-4611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wood, Marlene Ann can be contacted via phone (218) 685-4461.Contact Information
Primary practice address
1411 State Hwy 79 East
Elbow Lake MN 56531-4611
Phone: (218) 685-4461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RO709136 | Minnesota |
Profile Details
| NPI number | 1952384489 |
|---|---|
| LBN Legal business name | Wood, Marlene Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Feb 20th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952384489 | NPPES |
| Minnesota | MEDICAID | 816814800 |
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