| Doctor Name: | MARISA GLADEN |
| NPI Number: | 1003206152 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN BSN |
| License Number: | 697482 |
| Business Practice Address: | 3330 Matlock Rd Ste 207 Arlington, TX - 760152917 |
| Business Phone Number: | 9036474512 |
| Business Fax Number: | |
| Mailing Address: | 2717 Shadow Wood Dr, ARLINGTON |
| State: | TX |
| Postal Code: | 760062727 |
| Phone Number: | 9036474512 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2015 |
| NPI Last Update Date: | 01/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 697482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |