Individual
MRS. AMBER DETRI MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
357 TANGER BLVD STE 215, SEYMOUR, IN 47274-3597
(812) 558-9016
Mailing address
6320 W HICKORY HILL DR, NORTH VERNON, IN 47265-7553
(812) 558-9016
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27065467A
IN
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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