Provider Demographics
NPI:1831813088
Name:ARBERRY, MARLENE R
Entity type:Individual
Prefix:
First Name:MARLENE
Middle Name:R
Last Name:ARBERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2532 BELHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-5202
Mailing Address - Country:US
Mailing Address - Phone:214-428-3416
Mailing Address - Fax:
Practice Address - Street 1:2532 BELHAVEN DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-5202
Practice Address - Country:US
Practice Address - Phone:214-428-3416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172V00000XOther Service ProvidersCommunity Health Worker
No374700000XNursing Service Related ProvidersTechnician