Marshall, Andrea L

Marshall, Andrea L is an individual health care provider with primary practice located at 12502 Willowbrook Rd , Cumberland MD 21502-6491. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Marshall, Andrea L can be contacted via phone (240) 964-8760.

Contact Information

Primary practice address
12502 Willowbrook Rd Cumberland MD 21502-6491
Phone: (240) 964-8760
Fax: (240) 964-8769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2017-0020 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6675 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0002456 Maryland

Profile Details

NPI number 1467478925
LBN Legal business name Marshall, Andrea L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jan 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467478925 NPPES
Arizona Other 6675 AZ STATE LICENSE
Arizona Other PA2017-0020 AZ STATE LICENSE
Arizona Other C0002456 AZ STATE LICENSE

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