Individual
MARLOW ELLENOR FRANCIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-053151
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
A0312081
AL
Other
Enumeration date
08/30/2012
Last updated
09/17/2015
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