Individual
DR. MARILYN BODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD.,APRN-BC
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7200
Mailing address
3020 SEVEN MILE FERRY RD, CLARKSVILLE, TN 37040-8304
(931) 920-7200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN 6123
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
377032
MANAGED HEALTH NETWORK
TN
05
—
3903973
—
TN
01
—
4017181
BLUSCROSS BLUE SHIELD
TN
01
—
620718880001
CHAMPUS TRICARE
TN
Enumeration date
03/01/2007
Last updated
07/09/2007
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