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General NPI Number Information
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NPI Number | 1780840447
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Entity Type | Individual
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Provider Name | CARRIE MARSHALL LI N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 875 BLAKE WILBUR DR OFFICE 2321
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City | PALO ALTO
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State | CA
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Zip | 94304-2205
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Country | US
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Telephone | 650-724-6690
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Fax | 650-724-5203
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Provider Business Mailing Address
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Address Line | 875 BLAKE WILBUR DRIVE OFFICE 2321
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City | STANFORD
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State | CA
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Zip | 94304
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Country | US
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Telephone | 650-724-6690
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Fax | 650-724-5203
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 430352
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 20178
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License Number State | CA
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