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Individual
KRYSTAL K MARSHALL
Active
Individual
KRYSTAL K MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
041409825
IL
363LN0000X
Neonatal Nurse Practitioner
11038422
FL
363LN0000X
Neonatal Nurse Practitioner
Primary
13786
WI
363LN0000X
Neonatal Nurse Practitioner
71007041A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020844
—
IN
01
—
P02198221
MEDICARE RR
IN
Enumeration date
04/06/2017
Last updated
04/16/2025
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