Conley, Marla K
Conley, Marla K is an sole proprietor health care provider with primary practice located at 4121 Dutchmans Ln Ste 301 , Louisville KY 40207-4721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Conley, Marla K can be contacted via phone (502) 896-2500.Contact Information
Primary practice address
4121 Dutchmans Ln Ste 301
Louisville KY 40207-4721
Phone: (502) 896-2500
Fax: (502) 896-2527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 35350337 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 3007985 | Kentucky |
Profile Details
| NPI number | 1811262371 |
|---|---|
| LBN Legal business name | Conley, Marla K |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2012 |
| Last updated | Jul 12th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811262371 | NPPES |
| Indiana | MEDICAID | 201207180 | |
| Indiana | MEDICAID | 7100254940 |
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