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NPI Code Detail

MEDICARE: MARLA BIBLE RNFNPBC

MEDICARE: MARLA BIBLE RNFNPBC
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
1363LF0000XFamily Nurse Practitioner516098TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100N59XOTHERTXBCBS
21932210838OTHERTXGROUP NPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932329463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLA BIBLE RNFNPBC
Provider Business Mailing Address
First Line : PO BOX 18962
Second Line :
City : BELFAST
State : ME
Zip : 04915-4084
Country : US
Telephone Number : 800-566-5050
Fax Number : 254-537-6869
Provider Business Practice Location Address
First Line : 2100 LAKE SHORE DR
Second Line :
City : WACO
State : TX
Zip : 76708-1271
Country : US
Telephone Number : 254-537-6160
Fax Number : 254-537-6695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 01/06/2017

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Directions to “ MARLA BIBLE RNFNPBC” Practice Location

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