Individual
LAURA MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
401 JOHN ST, EVANSVILLE, IN 47713-2733
(812) 436-0224
Mailing address
3812 JOAN AVE, EVANSVILLE, IN 47715-1824
(812) 453-7231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011709A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300057372
—
IN
Enumeration date
09/24/2021
Last updated
05/04/2022
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