Individual
GREGORY MARSHALL
Active
Individual
GREGORY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
71007920A
IN
363L00000X
Nurse Practitioner
28207276A
IN
363LF0000X
Family Nurse Practitioner
28207276A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30006626
—
IN
Enumeration date
04/18/2018
Last updated
12/01/2025
Update your record
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