Marlena Anderson, RN
Individual provider Active NPI Registered Nurse · West Allis, WI
NPI 1689412348 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1689412348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 156115-30 (WI)
- Practice address
- 2814 S 108TH St
West Allis, WI 53227-3224 - Phone
- (414) 885-3525
- NPI assigned
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156115-30 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyride Transport, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 156115-30 | WI | Yes |
Addresses
Primary practice location
2814 S 108TH St
West Allis, WI 53227-3224
Mailing address
2814 S 108TH St
West Allis, WI 53227-3224
Phone (414) 651-5954
Other providers in West Allis, WI
- Amanda Mary Anderson
- Christine Leigh Anderson
- Deanna Joy Anderson
- Dennis Raymond Anderson
- Katherine Rose Anderson
- Steven P. Anderson
- Thomas Michael Andritsos
- Julie Ann Anich
- Ans Creative Behavioral Solutions, LLC
- Ans Personal Care Fox Valley West
All providers in West Allis, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.