Healthcare Provider Details

I. General information

NPI: 1255800314
Provider Name (Legal Business Name): MARLA C PARISH MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARLA C GRAHAM MPH

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 11/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 SUMMIT CREST LN
NORMAN OK
73071-4086
US

IV. Provider business mailing address

212 SUMMIT CREST LN
NORMAN OK
73071-4086
US

V. Phone/Fax

Practice location:
  • Phone: 405-364-0969
  • Fax:
Mailing address:
  • Phone: 405-364-0969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: