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Individual
MARLA THROSSEL
Active
Individual
MARLA THROSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403374801
—
TX
01
—
403374802
MEDICAID-CSHCN
TX
01
—
8LT658
BCBS
TX
Enumeration date
09/12/2019
Last updated
12/04/2019
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