Individual
MS. MARLA K CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4121 DUTCHMANS LN STE 301, LOUISVILLE, KY 40207-4721
(502) 896-2500
(502) 896-2527
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
3007985
KY
363LN0005X
Critical Care Neonatal Nurse Practitioner
35350337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201207180
—
IN
05
—
7100254940
—
KY
Enumeration date
03/16/2012
Last updated
07/12/2016
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