Individual
MARLA M TROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
209 E JEFFERSON ST, PLYMOUTH, IN 46563-1861
(574) 948-5100
(574) 335-0745
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008750A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102254257
ANTHEM
IN
05
—
300026662
—
IN
Enumeration date
02/08/2019
Last updated
04/16/2024
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