Individual
COLLEEN L MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4510 MARKETPLACE WAY, ENOLA, PA 17025-2462
(717) 547-6108
(717) 547-6189
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
(717) 547-6108
(717) 547-6189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017245
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103275985
—
PA
Enumeration date
01/13/2017
Last updated
12/19/2020
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