Marla Rae Smith
Marla Rae Smith is a Nurse Practitioner in Waterloo, Illinois. Qualified in 2007, 19 years ago. Practices with Heartland Women's Healthcare Ltd, a 29-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.
- Years since qualifying
- 19
- Licensed in
- IL, MO
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
869 N Illinois Rt 3Waterloo, IL 62298
Phone: (618) 939-7771
Fax: (618) 939-7746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Women's Health Nurse Practitioner (primary) | Taxonomy 363LW0102X · Licence 209007742 (IL) |
|---|---|
| Women's Health Nurse Practitioner | Taxonomy 363LW0102X · Licence 152008 (MO) |
Record details
| NPI number | 1548444011 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 20, 2007 |
| Last updated in NPPES | September 9, 2009 |
| Mailing address | 519 Covington Drive, Waterloo, IL 62298-3296 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Heartland Women'S Healthcare Ltd — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Waterloo
-
Waterloo Women's Health
869 N Illinois Rt 3, Waterloo, IL 62298 · (618) 939-7771