Marshall, Teresa Ann
Marshall, Teresa Ann is an individual health care provider with primary practice located at 10004 204Th Ave E #3400, Bonney Lake WA 98391-6539. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Marshall, Teresa Ann can be contacted via phone (253) 848-5951.Contact Information
Primary practice address
10004 204Th Ave E #3400
Bonney Lake WA 98391-6539
Phone: (253) 848-5951
Fax: (253) 845-7073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60009330 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60009330 | Washington |
Profile Details
| NPI number | 1366613960 |
|---|---|
| LBN Legal business name | Marshall, Teresa Ann |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2008 |
| Last updated | Dec 6th, 2016 - about 10 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366613960 | NPPES |
| Washington | MEDICAID | 9656869 |
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