Individual
MARLA ELAINE SAMPLE-ORMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2940 W WANDER RD, NEW RIVER, AZ 85087-6903
(623) 221-4409
Mailing address
2940 W WANDER RD, NEW RIVER, AZ 85087-6903
(623) 465-8647
(623) 465-8647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP30002445
WA
363LF0000X
Family Nurse Practitioner
Primary
RN095303 AP570
AZ
Other
Enumeration date
06/12/2007
Last updated
10/15/2012
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