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Individual
MARJORIE COMBELLICK
Active
Individual
MARJORIE COMBELLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNPC, PMHNPBC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71004948A
IN
363LG0600X
Gerontology Nurse Practitioner
71004948A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024185727
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71004948A
IN
363LP2300X
Primary Care Nurse Practitioner
71004948A
IN
Other
Enumeration date
06/23/2014
Last updated
02/21/2024
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