Provider Demographics
NPI:1346290376
Name:MARLOWE, SALLY M (ARNP)
Entity Type:Individual
Prefix:MS
First Name:SALLY
Middle Name:M
Last Name:MARLOWE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5227
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33758-5227
Mailing Address - Country:US
Mailing Address - Phone:727-447-3434
Mailing Address - Fax:727-447-6969
Practice Address - Street 1:2221 KENT PL
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-6624
Practice Address - Country:US
Practice Address - Phone:727-447-3434
Practice Address - Fax:727-447-6969
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNP1641332363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00690429OtherRAILROAD MEDICARE
FL033416200Medicaid
FLY3858YMedicare PIN
FL033416200Medicaid