Individual
AHISHA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
Mailing address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
77968
WV
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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