# CHARITY LYNETTE MARSH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538101472
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 141748 | MO | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 03/08/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 425791811 | — | MO |
| 01 | — | P53614 | UPIN | MO |