Provider Demographics
NPI:1285973040
Name:GLADDEN, MARIAN STEWART (RN)
Entity type:Individual
Prefix:MS
First Name:MARIAN
Middle Name:STEWART
Last Name:GLADDEN
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 1:2351 LONGTOWN RD E
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-9491
Mailing Address - Country:US
Mailing Address - Phone:803-691-6850
Mailing Address - Fax:803-691-6860
Practice Address - Street 1:2351 LONGTOWN RD E
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-9491
Practice Address - Country:US
Practice Address - Phone:803-691-6850
Practice Address - Fax:803-691-6860
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCRN.40727163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool