Individual
MARMIE BANKHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
(801) 778-6814
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
(801) 778-6814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3098063102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
04/11/2016
Last updated
04/11/2016
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