Provider Demographics
NPI:1538126503
Name:CARVER, MARLENE ORR (FNP-C)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:ORR
Last Name:CARVER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28771-9054
Mailing Address - Country:US
Mailing Address - Phone:828-479-7900
Mailing Address - Fax:828-479-6956
Practice Address - Street 1:21 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28771-9054
Practice Address - Country:US
Practice Address - Phone:828-479-7900
Practice Address - Fax:828-479-6956
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-01125363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2592579Medicare ID - Type Unspecified
NCQ64651Medicare UPIN