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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952384489 NPPES
Minnesota MEDICAID 816814800

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