Individual
MARLA JANE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5002 TWIN OAKS DR, MADISON, WI 53714-2734
(608) 226-8919
Mailing address
1241 MEADOWLARK DR, MADISON, WI 53716-1459
(608) 222-9611
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39978600
—
WV
Enumeration date
04/04/2006
Last updated
07/09/2007
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