Individual
MRS. KRYSTAL ANN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
19159 GEARHART DR, MACOMB, MI 48042-6238
(586) 551-5886
Mailing address
19159 GEARHART DR, MACOMB, MI 48042-6238
(586) 551-5886
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704306052
MI
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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