Marvelous Kirven
Individual provider Active NPI Home Health Registered Nurse · Moody, TX
NPI 1982139135 · NPPES record last updated Apr 25, 2017
Key facts
- NPI
- 1982139135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 782701 (TX)
- Practice address
- 304 Hatter
Moody, TX 76557-4081 - Phone
- (254) 716-9767
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 782701 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 782701 | TX | |
| Home Health Registered Nurse | 163WH0200X | 782701 | TX | Yes |
Addresses
Primary practice location
304 Hatter
Moody, TX 76557-4081
Mailing address
304 Hatter
Moody, TX 76557-4081
Phone (254) 716-9767
Other providers in Moody, TX
- Gloria C Decaires
- Jessica L Delgado Araiza
- Cecilia Wharton Erlund
- Gentle Transitions, LLC
- Hometown Care Center LLC
- Michelle R Laningham-Brem
- Emily Leib
- Pete Martinez
- Hugh McDanel
- Janice Renay Newman
All providers in Moody, TX · Home Health Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2017. 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.