# MARSHALL ADVANCED NURSING PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184453052
- **Authorized official:** MICHAEL MARSHALL PMHNP (MANAGER)
- **Authorized official phone:** (909) 755-6610

## Contact information

- **Practice address:** 3200 E GUASTI RD, ONTARIO, CA 91761-8660
- **Practice address phone:** (909) 755-6610
- **Practice address fax:** (909) 385-3335
- **Mailing address:** 3200 E GUASTI RD, ONTARIO, CA 91761-8660
- **Mailing address phone:** (909) 755-6610
- **Mailing address fax:** (909) 385-3335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2024
- **Last updated:** 02/24/2026