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NPI Code Detail

MEDICARE: TERESA E MARSHALL NP

MEDICARE: TERESA E MARSHALL NP
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
1363L00000XNurse Practitioner200005LA
2363LF0000XFamily Nurse Practitioner200005LA

General Provider Information

NPI Number : 1104395482
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA E MARSHALL NP
Provider Business Mailing Address
First Line : 1514 JEFFERSON HWY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121-2429
Country : US
Telephone Number : 504-842-4000
Fax Number :
Provider Business Practice Location Address
First Line : 4605 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-1517
Country : US
Telephone Number : 504-891-7676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2018
Last Update Date : 01/25/2022

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