Marla Elaine Sample-Ormes, ARNP
Individual provider Active NPI Family Nurse Practitioner · New River, AZ
NPI 1972707255 · NPPES record last updated Oct 15, 2012
Key facts
- NPI
- 1972707255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN095303 AP570 (AZ)
- Practice address
- 2940 W Wander Rd
New River, AZ 85087-6903 - Phone
- (623) 221-4409
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570 | AZ | MD | Clinical Psychologist |
| RN095303 AP570 | AZ | MD | Family Nurse Practitioner |
| AP30002445 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Indian Community Center | Current | Accepting new patients | |
| Sun Pain Management, PLLC | Past |
Accepting new patients | |
| Integrity Pain and Anesthesia PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DJIBDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30002445 | WA | |
| Family Nurse Practitioner | 363LF0000X | RN095303 AP570 | AZ | Yes |
Addresses
Primary practice location
2940 W Wander Rd
New River, AZ 85087-6903
Mailing address
2940 W Wander Rd
New River, AZ 85087-6903
Phone (623) 465-8647
Other names
- Marla Elaine Sample Farmer
Other providers in New River, AZ
- O.P.S. Therapy Services
- Daniel Pryor
- Psychiatric Remedy PLLC
- Ted Ryersbach
- Saguaro Valley Health
- Monique Swartwood
- Howard Coleman Thompson
- Melanie Renee Thompson
- TLC, Health & Education Services, Inc.
- Nancy M. Townsend
All providers in New River, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2012. 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.