Individual
ELIZABETH MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 WILDWOOD MEDICAL CTR, ESSEX, CT 06426-1155
(860) 767-0168
Mailing address
1 WILDWOOD MEDICAL CTR, ESSEX, CT 06426-1155
(860) 767-0168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
075893-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
7214
CT
Other
Enumeration date
12/20/2007
Last updated
11/15/2017
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