Provider Demographics
NPI:1114421476
Name:MARLER, SHEILA JO (APRN)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:JO
Last Name:MARLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:JO
Other - Last Name:CANINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1375 NETTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:THAYER
Mailing Address - State:MO
Mailing Address - Zip Code:65791-8740
Mailing Address - Country:US
Mailing Address - Phone:417-264-7136
Mailing Address - Fax:417-264-7122
Practice Address - Street 1:1375 NETTLETON AVE
Practice Address - Street 2:
Practice Address - City:THAYER
Practice Address - State:MO
Practice Address - Zip Code:65791-8740
Practice Address - Country:US
Practice Address - Phone:417-264-7136
Practice Address - Fax:417-264-7122
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018002987363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily