Individual
NICOLE MARSHALL-EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2121 CENTRAL ST APT 602, KANSAS CITY, MO 64108-2070
(973) 568-5127
Mailing address
2121 CENTRAL ST APT 602, KANSAS CITY, MO 64108-2070
(973) 568-5127
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2014010129
MO
363LP2300X
Primary Care Nurse Practitioner
53-76330-122
KS
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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