Healthcare Provider Details

I. General information

NPI: 1942291828
Provider Name (Legal Business Name): BARBARA W MARLEY APRN BC CS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 5TH ST ROOM 212
NATCHITOCHES LA
71457-5724
US

IV. Provider business mailing address

242B KEYSER AVE PMB 280
NATCHITOCHES LA
71457-5102
US

V. Phone/Fax

Practice location:
  • Phone: 318-664-4913
  • Fax: 318-354-1805
Mailing address:
  • Phone: 318-664-4913
  • Fax: 318-354-1805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberRN098474
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAP03752
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAP03752
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: