Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9324862 | FL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN9324862 | FL |
NPI | 1013411396 |
---|---|
Provider Name | Rachel Alexandra Marshall |
First Address | Pensacola, FL 32513-2699 |
Second Address | Niceville, FL 32578 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2018 |
Last Update Date | 25/06/2019 |