Individual
BYRON L MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2911
(207) 662-6006
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R056280
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP171130
ME
Other
Enumeration date
05/29/2009
Last updated
06/18/2021
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