Individual
KAREN SUE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
(765) 446-4695
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28100230A
IN
367500000X
Certified Registered Nurse Anesthetist
55191
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000636256
ANTHEM PROVIDER NUMBER
IN
05
—
200974260
—
IN
Enumeration date
08/03/2006
Last updated
04/24/2017
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