Most Relevant Information
Provider Data
| NPI Number: | 1003392002 |
| Provider Name: | MARLA BYRUM NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-135814 |
Most Important Dates
| Enumeration Date: | 07/13/2018 |
| Last Updated: | 07/13/2018 |
Provider Practice Location
412 W CLOVERDALE RD
SCOTTSBORO
AL
357684264
Practice Location Phone/Fax
| Phone: | 3379919276 |
| Fax: |
Provider Mailing Location
1509 DULLES DR
LAFAYETTE
LA
705063718
Provider Mailing Phone/Fax
| Phone: | 3379919276 |
| Fax: | 3379430846 |