Individual
CANDY C MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2620 RUSSELL LONG BLVD, CANYON, TX 79016
(806) 651-3287
(806) 651-3289
Mailing address
2620 RUSSELL LONG BLVD, CANYON, TX 79016
(806) 651-3287
(806) 651-3289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
517366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y8342
BCBS
TX
Enumeration date
07/25/2006
Last updated
12/04/2008
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