Individual
AMY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016
(540) 224-5170
(540) 983-8214
Mailing address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8214
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024177412
VA
Other
Enumeration date
02/19/2019
Last updated
04/30/2019
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