Individual
MARILYN J AYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
27 EAST HIGHWAY 66, TELL CITY, IN 47586-2044
(812) 395-2011
(270) 395-2012
Mailing address
8623 N 275 E, CHRISNEY, IN 47611
(812) 362-8323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1025505
KY
163W00000X
Registered Nurse
28049367A
IN
363LF0000X
Family Nurse Practitioner
3002878
KY
363LF0000X
Family Nurse Practitioner
Primary
71002269A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000498490
ANTHEM # - CHS, INC.
—
05
—
200878830
—
IN
05
—
7801574000
—
KY
Enumeration date
03/08/2006
Last updated
01/10/2011
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