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1386560191 NPI number — SHIREE GLORIA MARSH RN

NPI Number: 1386560191
Health Care Provider/Practitioner: SHIREE GLORIA MARSH RN

Information about “1386560191” NPI (SHIREE GLORIA MARSH RN) exists in 1386560191 in HTML format HTML  |  1386560191 in plain Text format TXT  |  1386560191 in PDF (Portable Document Format) PDF  |  1386560191 in an XML format XML  formats.

NPI Number : 1386560191 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386560191",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARSH",
    "FirstName": "SHIREE",
    "MiddleName": "GLORIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1620 EASTPOINTE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "POCATELLO",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83201-5160",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-814-1000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "801 POLE LINE RD W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TWIN FALLS",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83301-5799",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-814-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/25/2026",
    "LastUpdateDate": "06/25/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "163WE0003X",
        "TaxonomyName": "Emergency Registered Nurse",
        "LicenseNumber": "54195",
        "LicenseNumberStateCode": "ID",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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