Cleavenger, Marcia L

Cleavenger, Marcia L is an sole proprietor health care provider with primary practice located at 400 S Santa Fe Ave , Salina KS 67401-4144. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Cleavenger, Marcia L can be contacted via phone (785) 452-6113.

Contact Information

Primary practice address
400 S Santa Fe Ave Salina KS 67401-4144
Phone: (785) 452-6113
Fax: (785) 452-6119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 46036 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 46036 Kansas

Profile Details

NPI number 1073715322
LBN Legal business name Cleavenger, Marcia L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated Mar 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073715322 NPPES
Kansas MEDICAID 200441970C

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