Organization
MARSHALL ADVANCED NURSING PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MARSHALL PMHNP (MANAGER)
(909) 755-6610
Entity
Organization
Contact information
Practice address
3200 E GUASTI RD, ONTARIO, CA 91761-8660
(909) 755-6610
(909) 385-3335
Mailing address
3200 E GUASTI RD, ONTARIO, CA 91761-8660
(909) 755-6610
(909) 385-3335
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
02/24/2026
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