Provider Demographics
NPI:1366732356
Name:MARLOW, BETTY D (CNP)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:D
Last Name:MARLOW
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 N ED CAREY DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8203
Mailing Address - Country:US
Mailing Address - Phone:956-423-4030
Mailing Address - Fax:956-423-9188
Practice Address - Street 1:1717 N ED CAREY DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8203
Practice Address - Country:US
Practice Address - Phone:956-423-4030
Practice Address - Fax:956-423-9188
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234244363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology