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NPI Code Detail

MEDICARE: MARIANNE ELIZABETH CARBARY LPN

MEDICARE: MARIANNE ELIZABETH CARBARY 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
1164W00000XLicensed Practical NurseL0071340OK

General Provider Information

NPI Number : 1801498605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNE ELIZABETH CARBARY LPN
Provider Business Mailing Address
First Line : 1613 SE 66TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73149-5203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1613 SE 66TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73149-5203
Country : US
Telephone Number : 405-616-3366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2020
Last Update Date : 11/16/2020

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