Provider Demographics
NPI:1932234655
Name:WARD, MARTA DOWNING (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:DOWNING
Last Name:WARD
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1132 NORMANDY LN
Mailing Address - Street 2:
Mailing Address - City:BLYTHEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72315
Mailing Address - Country:US
Mailing Address - Phone:573-359-3550
Mailing Address - Fax:573-359-3557
Practice Address - Street 1:701 E LINCOLN ST
Practice Address - Street 2:
Practice Address - City:HAYTI
Practice Address - State:MO
Practice Address - Zip Code:63851-1738
Practice Address - Country:US
Practice Address - Phone:573-359-3550
Practice Address - Fax:573-359-3557
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001020856363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily