Healthcare Provider Details

I. General information

NPI: 1871128736
Provider Name (Legal Business Name): MARIA NOELLE MAGDALENA MARSHALL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2020
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14300 ORCHARD PKWY
WESTMINSTER CO
80023-9206
US

IV. Provider business mailing address

14300 ORCHARD PKWY
WESTMINSTER CO
80023-9206
US

V. Phone/Fax

Practice location:
  • Phone: 720-627-4479
  • Fax: 720-627-3382
Mailing address:
  • Phone: 720-627-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberC-APN.0103711-C-CRNA
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: