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Individual

MS. MARTHA J MARNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NNP

Contact information

Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-5126
Mailing address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-5126

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
RN036517
AZ
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN036517
AZ

Other

Enumeration date
03/17/2009
Last updated
12/14/2010
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