Provider Demographics
NPI:1982417770
Name:TALAM, MARLIN C (RN)
Entity type:Individual
Prefix:
First Name:MARLIN
Middle Name:C
Last Name:TALAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14393 QUINTANA ST NW
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-6637
Mailing Address - Country:US
Mailing Address - Phone:612-458-7914
Mailing Address - Fax:
Practice Address - Street 1:14393 QUINTANA ST NW
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-6637
Practice Address - Country:US
Practice Address - Phone:612-458-7914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2460430163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health