Individual
TAMARA DENISE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 FERRY ST STE B, LAFAYETTE, IN 47901-1172
(765) 581-3121
Mailing address
1116 S 23RD ST, LAFAYETTE, IN 47905-1627
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28151570A
IN
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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