Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 61001637 | WA |
NPI | 1164073375 |
---|---|
Provider Name | Jennifer Nicole Marsh |
First Address | Marysville, WA 98270-8936 |
Second Address | Everett, WA 98201-3563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2019 |
Last Update Date | 28/09/2019 |