Individual
CHANTELLE FRANCES MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-5282
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN280865
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN280865
MA
Other
Enumeration date
08/07/2009
Last updated
12/01/2016
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