Individual
TAMARA ROSE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15825 BALLANTYNE MEDICAL PL STE 220, CHARLOTTE, NC 28277-4790
(704) 316-2930
(704) 316-2938
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011651
NC
Other
Enumeration date
04/11/2019
Last updated
09/09/2024
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