Individual
KRISTEN MARIE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 LOCUST ST, RENO, NV 89502-1316
(775) 982-5270
(775) 982-5288
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16667
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093158610
—
NV
01
—
13838466
CAQH
—
Enumeration date
04/12/2013
Last updated
12/10/2020
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