Provider Demographics
NPI:1831193523
Name:TALMON, MARIAN S (FNP)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:S
Last Name:TALMON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4559 W BUTLER DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-5202
Mailing Address - Country:US
Mailing Address - Phone:623-847-0909
Mailing Address - Fax:
Practice Address - Street 1:8811 N 51ST AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-4949
Practice Address - Country:US
Practice Address - Phone:623-931-5001
Practice Address - Fax:623-931-5120
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN079039207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZS95167Medicare UPIN