Individual
DR. NANCY A MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12040 NE 128TH ST, MS #105, KIRKLAND, WA 98034-3013
(425) 899-2560
(425) 899-2079
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041428
WA
208M00000X
Hospitalist Physician
MD00041428
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173143
LABOR & INDUSTRIES
WA
01
—
2534EL
BLUE SHIELD
WA
05
—
8355810
—
WA
01
—
P00054627
MEDICARE RAILROAD
WA
Enumeration date
11/16/2005
Last updated
12/10/2019
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