MARY ELIZABETH MARBLE


Address: 1055 N 300 W Ste 401, Provo, UT 84604-3306
Phone: 8013577499

MARY ELIZABETH MARBLE (NPI# 1346518867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346518867
Entity Type Individual
Full Name MARY ELIZABETH MARBLE
Other Name M LIZ MARBLE
Credential NP-C
Practice Address 1055 N 300 W Ste 401
Provo
UT 84604-3306
Practice Telephone 8013577499
Practice Fax Number 8013735980
Mailing Telephone 8013577499
Mailing Fax Number 8013735980
Enumeration Date 2011-12-12
Last Update Date 2016-11-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
6880193-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1055 N 300 W STE 401
City PROVO
State UT
Zip Code 84604-3306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467535138 Amanda G Lewis Nurse Practitioner 1055 N 300 W Ste 401, Provo, UT 84604-3306 2006-10-24
1891253456 Laura Savage Nurse Practitioner 1055 N 300 W Ste 401, Provo, UT 84604-3306 2019-03-03
1619383494 Sarah Anne Cordingley Audiologist 1055 N 300 W Ste 401, Provo, UT 84604-3306 2014-07-01
1760800353 Ryan Mark Stephenson Otolaryngology 1055 N 300 W Ste 401, Provo, UT 84604-3306 2014-04-01
1588976328 Jordan Carlton Schramm Otolaryngology 1055 N 300 W Ste 401, Provo, UT 84604-3306 2010-07-09
1851506786 Seth A Riddle, M.d. P.C. Surgery 1055 N 300 W Ste 401, Provo, UT 84604-3306 2007-05-14
1326126772 Seth A Riddle, M.d., P.C. Otolaryngology 1055 N 300 W Ste 401, Provo, UT 84604-3306 2006-11-02

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NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
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1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
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1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750998860 Jeremy Llewellyn Nurse Practitioner 395 W Cougar Blvd Fl 5, Provo, UT 84604-3323 2020-09-24
1336765882 Julie Andrea Rogers Nurse Practitioner 428 W 4620 N, Provo, UT 84604-5537 2020-06-21
1992337208 Xiao Xiao Zou Hoffman Nurse Practitioner 1747 N 1500 W, Provo, UT 84604-1146 2020-02-05
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1174095855 Jared Hawkins Nurse Practitioner 1034 N 500 W # 84604, Provo, UT 84604-3380 2018-12-19
1891270062 Catherine Leilani Barrus Nurse Practitioner 2833 Indian Hills Cir, Provo, UT 84604-4333 2018-10-03
1760968804 Amanda Graves Nurse Practitioner 1900 N State St Ste 103, Provo, UT 84604-1354 2018-07-12
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1205356250 Gordon Dale Mills Jr. Nurse Practitioner 1055 N 500 W # 212, Provo, UT 84604-3305 2017-06-21
1770034845 Megan Mackenzie Zitting Nurse Practitioner 1437 E 1270 S, Provo, UT 84606-6527 2016-10-24
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Competitor

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City PROVO
Zip Code 84604

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Dataset Information

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.

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