Individual
MS. MARVA ANN MARIE WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
7701 PINE LANDS DR, WESLEY CHAPEL, FL 33544-2404
(813) 994-5185
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN2878582
FL
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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