Individual
HEATHER M MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN CNP
Contact information
Practice address
2600 MOTE DR, COVINGTON, OH 45318-1260
(372) 089-0109
(937) 208-9020
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.293630
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.14724-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088383
—
OH
Enumeration date
03/03/2013
Last updated
09/30/2025
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