Provider Demographics
NPI:1932329463
Name:BIBLE, MARLA (RNFNPBC)
Entity Type:Individual
Prefix:
First Name:MARLA
Middle Name:
Last Name:BIBLE
Suffix:
Gender:F
Credentials:RNFNPBC
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 18962
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4084
Mailing Address - Country:US
Mailing Address - Phone:800-566-5050
Mailing Address - Fax:254-537-6869
Practice Address - Street 1:2100 LAKE SHORE DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-1271
Practice Address - Country:US
Practice Address - Phone:254-537-6160
Practice Address - Fax:254-537-6695
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX516098363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00N59XOtherBCBS
TX1932210838OtherGROUP NPI
TX084249401OtherGROUP MEDICAID #
TX297338001Medicaid
TX00N59XMedicare PIN
TX1932210838OtherGROUP NPI