MEDICARE: MRS. ASHLEY MARIE MARKLAND LPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	L2-0008389	DE

General Provider Information

NPI Number	:	1073632303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY MARIE MARKLAND LPN

Provider Business Mailing Address
First Line	:	127 WEDGEFIELD DR
Second Line	:	EAGLE GLEN
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-3737
Country	:	US
Telephone Number	:	302-377-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 KIRKWOOD HWY
Second Line	:	SUITE 203
City	:	WILMINGTON
State	:	DE
Zip	:	19808-4857
Country	:	US
Telephone Number	:	302-998-0469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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