Provider Demographics
NPI:1457234767
Name:OBRIEN, MARLENE
Entity type:Individual
Prefix:
First Name:MARLENE
Middle Name:
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426A SOUTHTULIP AVE
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4590
Mailing Address - Country:US
Mailing Address - Phone:609-833-0655
Mailing Address - Fax:
Practice Address - Street 1:426A SOUTHTULIP AVE
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4590
Practice Address - Country:US
Practice Address - Phone:609-833-0655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula