Most Relevant Information
Provider Data
| NPI Number: | 1003206152 |
| Provider Name: | MARISA GLADEN RN BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0400X |
| Specialty: | Registered Nurse |
| License Number: | 697482 |
Most Important Dates
| Enumeration Date: | 01/28/2015 |
| Last Updated: | 01/28/2015 |
Provider Practice Location
3330 MATLOCK RD STE 207
ARLINGTON
TX
760152917
Practice Location Phone/Fax
| Phone: | 9036474512 |
| Fax: |
Provider Mailing Location
2717 SHADOW WOOD DR
ARLINGTON
TX
760062727
Provider Mailing Phone/Fax
| Phone: | 9036474512 |
| Fax: |