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Individual
MS. MARSHA MARRE STOVER
Active
Individual
MS. MARSHA MARRE STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000036205N2
OR
363LP0200X
Pediatric Nurse Practitioner
AP30002170
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9604851
—
WA
Enumeration date
07/08/2006
Last updated
05/19/2014
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