| Doctor Name: | MARLA DRIVER |
| NPI Number: | 1396788808 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP3168212 |
| Business Practice Address: | 117 Sw Virginia Cir Mayo, FL - 320664065 |
| Business Phone Number: | 3862942475 |
| Business Fax Number: | 3862942478 |
| Mailing Address: | 333 N Byron Butler Pkwy, PERRY |
| State: | FL |
| Postal Code: | 323472300 |
| Phone Number: | 8505840609 |
| Fax Number: | 8505840689 |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 05/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP3168212 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |