Provider Demographics
NPI:1942291828
Name:MARLEY, BARBARA W (APRN BC CS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:W
Last Name:MARLEY
Suffix:
Gender:F
Credentials:APRN BC CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242B KEYSER AVE
Mailing Address - Street 2:PMB 280
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5102
Mailing Address - Country:US
Mailing Address - Phone:318-664-4913
Mailing Address - Fax:318-354-1805
Practice Address - Street 1:111 E 5TH ST
Practice Address - Street 2:ROOM 212
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5724
Practice Address - Country:US
Practice Address - Phone:318-664-4913
Practice Address - Fax:318-354-1805
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN098474364S00000X
LAAP03752364SP0807X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Not Answered364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
Not Answered364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1625078Medicaid
LA1625078Medicaid