Provider Demographics
NPI:1003413915
Name:SPRING, MARLENE KAY
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:KAY
Last Name:SPRING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 DERBY DOWNS RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-3332
Mailing Address - Country:US
Mailing Address - Phone:740-644-8225
Mailing Address - Fax:
Practice Address - Street 1:527 DERBY DOWNS RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-3332
Practice Address - Country:US
Practice Address - Phone:740-644-8225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide