Individual
MRS. AMY JORDAN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10755 FALLS RD, SUITE 260, LUTHERVILLE, MD 21093-4515
(410) 583-2955
Mailing address
1409 COVINGTON ST, BALTIMORE, MD 21230-4618
(410) 925-9158
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R169957
MD
Other
Enumeration date
02/20/2012
Last updated
12/14/2013
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