# MS. MARSHA JEANETTE PAGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1023201738
- **Gender:** F
- **Credential:** L.P.N.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 4703061419 | MI | Yes |

## Other

- **Enumeration date:** 08/26/2007
- **Last updated:** 10/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10 0004361092 | — | MI |