Provider Demographics
NPI:1972394500
Name:CONLEY, MARCI LOREE (CMAIII)
Entity type:Individual
Prefix:
First Name:MARCI
Middle Name:LOREE
Last Name:CONLEY
Suffix:
Gender:F
Credentials:CMAIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-2615
Mailing Address - Country:US
Mailing Address - Phone:701-426-7622
Mailing Address - Fax:
Practice Address - Street 1:1211 N 2ND ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-2615
Practice Address - Country:US
Practice Address - Phone:701-426-7622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND110349374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty