Individual
MRS. MICAH NICOLE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
1200 N PHILLIPS AVE, OKLAHOMA CITY, OK 73104-4600
(405) 417-1801
(405) 271-7866
Mailing address
1200 N PHILLIPS AVE, OKLAHOMA CITY, OK 73104-4600
(405) 417-1801
(405) 271-7866
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
89509
OK
Other
Enumeration date
08/02/2011
Last updated
11/27/2012
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