MEDICARE: MR. KEVIN JAMES MARSTON AGACNP-BC

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
1	363L00000X	Nurse Practitioner	249498	AZ
2	363LA2100X	Acute Care Nurse Practitioner	249498	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720688443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN JAMES MARSTON AGACNP-BC

Provider Business Mailing Address
First Line	:	13555 W MCDOWELL RD
Second Line	:	STE 205
City	:	GOODYEAR
State	:	AZ
Zip	:	85395-2626
Country	:	US
Telephone Number	:	207-831-2002
Fax Number	:

Provider Business Practice Location Address
First Line	:	6602 E PHELPS RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-5659
Country	:	US
Telephone Number	:	207-831-2002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2020
Last Update Date	:	11/30/2021

Similar Medicare Providers

1841537610 — MS. EDWINA MARLENE LANHAM RPH
Practice Location Address:

6602 E PHELPS RD
SCOTTSDALE, AZ
85254-5659

Practice Phone: 480-991-0962
Practice Fax:

1841718129 — DR. ALEXANDER LIGHTSTONE BORSAND MD
Practice Location Address:

4850 E DESERT COVE AVE UNIT 320
SCOTTSDALE, AZ
85254-5394

Practice Phone: 602-818-3994
Practice Fax: 602-818-3994

1073747978 — PEDIATRIC SPEECH & LANGUAGE SPECIALISTS, LLC
Practice Location Address:

6865 E BECKER LANE , SUITE 101
SCOTTSDALE, AZ
85254

Practice Phone: 480-991-6560
Practice Fax: 480-607-9246

1912521121 — ORANGE ADVANCED MEDICAL LLC
Practice Location Address:

5362 E KELTON LN
SCOTTSDALE, AZ
85254-1144

Practice Phone: 623-581-0051
Practice Fax: 581-623-1924

1063917706 — EVA DENISSE GONZALEZ APRN, FNP-C
Practice Location Address:

16435 N SCOTTSDALE RD STE 285
SCOTTSDALE, AZ
85254-1680

Practice Phone: 866-849-0692
Practice Fax:

1982216594 — PAIGE SPARKS DNP, APRN, FNP-BC
Practice Location Address:

16435 N SCOTTSDALE RD STE 285
SCOTTSDALE, AZ
85254-1680

Practice Phone: 866-849-0692
Practice Fax:

Directions to “ MR. KEVIN JAMES MARSTON AGACNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.