Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP127792 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP127792 | TX |
Y | 363LG0600X | Nurse Practitioner - Gerontology | AP127792 | TX |
NPI | 1356735872 |
---|---|
Provider Name | Kristi B Marsh |
First Address | Houston, TX 77253-3345 |
Second Address | Houston, TX 77054-3905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2015 |
Last Update Date | 29/09/2021 |