Individual
MRS. MARLA MARIE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7685 W PIQUA CLAYTON RD, COVINGTON, OH 45318-8802
(937) 473-2919
(937) 473-2124
Mailing address
7685 W PIQUA CLAYTON RD, COVINGTON, OH 45318-8802
(937) 473-2919
(937) 473-2124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN130747
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000286052
ANTHEM #
OH
05
—
0716167
—
OH
Enumeration date
05/03/2006
Last updated
07/09/2007
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