Provider Demographics
NPI:1902577331
Name:MARZEN, AMBER (ARNP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:MARZEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:50475-5008
Mailing Address - Country:US
Mailing Address - Phone:641-892-4495
Mailing Address - Fax:
Practice Address - Street 1:203 S 2ND ST
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:IA
Practice Address - Zip Code:50475-5008
Practice Address - Country:US
Practice Address - Phone:641-892-4495
Practice Address - Fax:641-892-4278
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-24
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA165787363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily