Individual
NANCY ANN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5261 CARROLLTON PIKE, SUITE B, WOODLAWN, VA 24381-3030
(276) 238-8876
(276) 238-8886
Mailing address
5261 CARROLLTON PIKE, SUITE B, WOODLAWN, VA 24381-3030
(276) 238-8876
(276) 238-8886
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170421
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033461579
—
VA
01
—
261083931
TAX ID
—
01
—
DN2980
GROUP PTAN
VA
01
—
P01141245
PTAN
VA
Enumeration date
10/08/2012
Last updated
08/26/2014
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