Provider Demographics
NPI:1205308376
Name:CODLING, MARION MARIE (APRN)
Entity type:Individual
Prefix:MS
First Name:MARION
Middle Name:MARIE
Last Name:CODLING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8895 N MILITARY TRL STE 203C
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6261
Mailing Address - Country:US
Mailing Address - Phone:772-310-8785
Mailing Address - Fax:949-561-5660
Practice Address - Street 1:8895 N MILITARY TRL STE 203C
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6261
Practice Address - Country:US
Practice Address - Phone:772-310-8785
Practice Address - Fax:949-561-5660
Is Sole Proprietor?:No
Enumeration Date:2018-12-29
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111000714363LF0000X
NC5019372363LP0808X
FLAPRN11000714363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109176000Medicaid