Healthcare Provider Details

I. General information

NPI: 1639192255
Provider Name (Legal Business Name): FRANCES DIANE MARSHALL RN,MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 N MILITARY TRL
RIVIERA BEACH FL
33410-7417
US

IV. Provider business mailing address

6470 LONGLEAF PINE DR
JUPITER FL
33458-2480
US

V. Phone/Fax

Practice location:
  • Phone: 561-422-8540
  • Fax:
Mailing address:
  • Phone: 561-575-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN1309172
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: