Provider Demographics
NPI:1265666010
Name:MARCHBANK, NANCY (CNA)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:MARCHBANK
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21698 HAYNES RD
Mailing Address - Street 2:
Mailing Address - City:HENSLEY
Mailing Address - State:AR
Mailing Address - Zip Code:72065-9103
Mailing Address - Country:US
Mailing Address - Phone:501-626-3767
Mailing Address - Fax:
Practice Address - Street 1:21698 HAYNES RD
Practice Address - Street 2:
Practice Address - City:HENSLEY
Practice Address - State:AR
Practice Address - Zip Code:72065-9103
Practice Address - Country:US
Practice Address - Phone:501-626-3767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR050093020905E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR050093020905EOtherDEPARTMENT OF HUMAN SERVICES