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NPI Code Detail

MEDICARE: SHERRILL G MARSHALL NURSE PRACTITIONER A

MEDICARE: SHERRILL G MARSHALL NURSE PRACTITIONER A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364S00000XClinical Nurse Specialist0015000715VA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner0017138097VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609894179
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRILL G MARSHALL NURSE PRACTITIONER A
Provider Business Mailing Address
First Line : 1500 E LITTLE CREEK RD STE 205
Second Line :
City : NORFOLK
State : VA
Zip : 23518-4137
Country : US
Telephone Number : 757-587-4744
Fax Number : 757-587-4947
Provider Business Practice Location Address
First Line : 1500 E LITTLE CREEK RD STE 205
Second Line :
City : NORFOLK
State : VA
Zip : 23518-4137
Country : US
Telephone Number : 757-587-4744
Fax Number : 757-587-4947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 10/05/2017

Similar Medicare Providers

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Practice Location Address:
1500 E LITTLE CREEK RD , STE 205
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1699749259 — MS. CAROLINE KANE WESTON LCSW
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1407821580 — DR. FRANK H. KIRCHNER M.D.
Practice Location Address:
1500 E LITTLE CREEK RD STE 205 , HAMPTON ROADS BEHAVIORAL HEALTH
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23518-4137
Practice Phone: 757-587-4744
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1104883875 — ANNE N. ROBINSON M.D.
Practice Location Address:
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1356394696 — HAMPTON ROADS BEHAVIORAL HEALTH,PC
Practice Location Address:
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1912068875 — MS. CAROL GERARDA LA FAUCI NP
Practice Location Address:
1500 E LITTLE CREEK RD , SUITE 205
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23518-4137
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Practice Fax: 757-587-4947

Directions to “ SHERRILL G MARSHALL NURSE PRACTITIONER A” Practice Location

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