Audrey E. Marshall in Olympia - Specialist

Audrey E. Marshall - NPI 1174681167

Audrey E. Marshall is a Specialist in Olympia, Washington. Audrey E. Marshall practices all healthcare services and medical treatments related to Specialist. The NPI Number for Audrey E. Marshall is 1174681167. The last update date is 2013-12-16.

Audrey E. Marshall's current location address is 2411 Pacific Ave Se Fl 1, Olympia, Washington. You can contact this provider via phone number 3604852237 and fax number 8153013767. The mailing address for Audrey E. Marshall is 2411 Pacific Ave Se Fl 1, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Audrey E. Marshall
Address 2411 Pacific Ave Se Fl 1, Olympia, Washington
Phone Number 3604852237
Fax Number 8153013767
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1174681167
Provider Enumeration Date 2006-12-04
Last Updated Date 2013-12-16

Provider Mailing Address Detail

Address 2411 Pacific Ave Se Fl 1
City Olympia
State Washington (WA)
Post Code 985012048
Phone Number 3604852237
Fax Number 8153013767

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA#12952
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8381MA WA REGENCE BLUE SHIELD
132940 WA L&I NUMBER
8382MA WA REGENCE BLUE SHIELD

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FAQs about Audrey E. Marshall

What is the unique 10-digit identifier code assigned to Audrey E. Marshall by the Centers for Medicare & Medicaid Services?

The Audrey E. Marshall has been issued the NPI (National Provider Identifier) 1174681167 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Audrey E. Marshall?

The Audrey E. Marshall is physically situated at 2411 Pacific Ave Se Fl 1, in the city of Olympia, state of WA, with the postal code 985012048.

What is Audrey E. Marshall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Audrey E. Marshall is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Audrey E. Marshall receive the assignment of its 1174681167 from the Centers for Medicare & Medicaid Services?

The Audrey E. Marshall was issued its 1174681167 by the Centers for Medicare & Medicaid Services on 2006-12-04.

As of what date were the Audrey E. Marshall's details last updated?

The information pertaining to the Audrey E. Marshall, including its address, specialty, and other details, was most recently updated on 2013-12-16.

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