MARLEE CHANG (NPI# 1104353937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104353937 |
Entity Type | Individual |
Full Name | MARLEE CHANG |
Credential | ARNP |
Practice Address |
5652 Grandview Blvd Lakeland FL 33810-3239 |
Practice Telephone | 6155875315 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9321237 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5652 GRANDVIEW BLVD |
City | LAKELAND |
State | FL |
Zip Code | 33810-3239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811495096 | Suzanne Brabant | Social Worker | 8179 Westmont Terrace Drive, Lakeland, FL 33810 | 2018-01-23 |
1396102554 | Faison Health Care Solution | Custodial Care Facility | 2064 View Point Landings Rd, Lakeland, FL 33810 | 2016-01-19 |
1306212808 | Drew Brownlow | Physical Therapy Assistant | 6303 Brahman Drive, Lakeland, FL 33810 | 2015-08-19 |
1043699051 | Ilene Shumaker Griffin | Home Health Aide | 2930 Oak Tree Ln, Lakeland, FL 33810 | 2015-05-22 |
1962881276 | Richardson Anointing Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 708east Ponderosa Dr, Lakeland, FL 33810 | 2015-05-20 |
1336352756 | Avito Veloso Vano | Physical Therapist | 9460 Redhawk Bend Lane, Lakeland, FL 33810 | 2007-05-08 |
1104978444 | Jean Bednarski Waters | Registered Nurse | 8516 N Campbell Rd, Lakeland, FL 33810 | 2007-01-17 |
1407892656 | David Willis Kent | Counselor | 930 Alicea Rd, Lakeland, FL 33810 | 2006-06-22 |
1972818359 | Suzanne B Stewart | Pharmacist | 3120 Kathleen Rd, Lakeland, FL 33810 | 2010-08-10 |
1689117228 | Kyosha Howard | Occupational Therapist | 3624 Country Ln, Lakeland, FL 33810-0238 | 2016-11-30 |
Find all providers in zip 33810 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184040891 | Sandrell Williams | Nurse Practitioner | 5133 S Lakeland Dr, Lakeland, FL 33813-2622 | 2014-03-05 |
1548539356 | Melissa Gaa Rumph | Nurse Practitioner | 601 S Florida Ave Ste 6, Lakeland, FL 33801-5237 | 2011-12-22 |
1003049990 | Adelene Soto | Nurse Practitioner | 930 Marcum Rd, Lakeland, FL 33809-4308 | 2009-08-26 |
1326012527 | Jennifer Lynn Bath | Nurse Practitioner | 1920 Lakeland Hills Blvd, Lakeland, FL 33805-2902 | 2006-02-14 |
1083273692 | Alexandra Texeira | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-06-07 |
1104481241 | Todd Moccabee | Nurse Practitioner | 1920 Lakeland Hills Blvd, Lakeland, FL 33805-2902 | 2019-05-03 |
1093235087 | Marron Mclean | Nurse Practitioner | 601 S Florida Ave Ste 6, Lakeland, FL 33801-5237 | 2017-06-21 |
1902343312 | Lachiana Hamilton | Nurse Practitioner | 5133 S Lakeland Dr, Lakeland, FL 33813-2622 | 2017-01-23 |
1699220079 | Jill Crutcher | Nurse Practitioner | 5950 S Florida Ave, Lakeland, FL 33813-2532 | 2016-08-16 |
1548676380 | Indya Carroll Dollison | Nurse Practitioner | 601 S Florida Ave, Lakeland, FL 33801-5237 | 2014-07-01 |
Find all providers in LAKELAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.