Individual
MRS. MARILYN JANE HARROLD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
2314 ROSEWOOD AVE., NORTH NEWTON, KS 67117-0176
(316) 282-4847
Mailing address
2314 ROSEWOOD AVE., NORTH NEWTON, KS 67117-0176
(316) 282-4847
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12-20734-012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144858
BLUE SHIELD
KS
Enumeration date
04/13/2006
Last updated
07/08/2007
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