Doctor Name: | MARLI ANN MAPLES MAGNET |
NPI Number: | 1053369298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP, CERTIFIED |
License Number: | NP RN 164876 |
Business Practice Address: | 301 Fisher St Keesler Afb, MS - 395342508 |
Business Phone Number: | 2283763870 |
Business Fax Number: | |
Mailing Address: | 301 Fisher St, KEESLER AFB |
State: | MS |
Postal Code: | 395342508 |
Phone Number: | 2283763870 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP RN 164876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |