Individual
CARRIE VIRGINIA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
53 ROUTE 130, FORESTDALE, MA 02644-1402
(508) 477-5306
Mailing address
21 BEACON ST, APT. 7A, BOSTON, MA 02108-2804
(857) 991-1299
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
237573
MA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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