Kathleen Bridget Marshall in Fort Hall - Pediatrics

Kathleen Bridget Marshall - NPI 1568679603

Kathleen Bridget Marshall is a Pediatrics in Fort Hall, Idaho. Kathleen Bridget Marshall practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kathleen Bridget Marshall is 1568679603. The last update date is 2007-07-08.

Kathleen Bridget Marshall's current location address is 717 Mission Rd., Fort Hall, Idaho. You can contact this provider via phone number 2082385435. The mailing address for Kathleen Bridget Marshall is 717 Mission Rd., Fort Hall, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Bridget Marshall
Address 717 Mission Rd., Fort Hall, Idaho
Phone Number 2082385435
Fax Number
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1568679603
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 717 Mission Rd.
City Fort Hall
State Idaho (ID)
Post Code 832030717
Phone Number 2082385435
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No NP433A
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8063500 ID --
8064977 ID --
80662922 ID --

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FAQs about Kathleen Bridget Marshall

What is the unique identifier code issued to Kathleen Bridget Marshall by the Centers for Medicare & Medicaid Services (CMS)?

The Kathleen Bridget Marshall has been assigned the NPI (National Provider Identifier) 1568679603. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Kathleen Bridget Marshall is located?

The Kathleen Bridget Marshall is situated at the following address: 717 Mission Rd., Fort Hall, ID, 832030717.

What is Kathleen Bridget Marshall's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kathleen Bridget Marshall's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.

On what date did the Kathleen Bridget Marshall receive its 1568679603 assignment from the Centers for Medicare & Medicaid Services?

The Kathleen Bridget Marshall was assigned its 1568679603 by the Centers for Medicare & Medicaid Services on 2007-05-17.

As of what date were the Kathleen Bridget Marshall's details last updated?

The information pertaining to the Kathleen Bridget Marshall, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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