MEDICARE: JULIE MARIE MARSH FNP

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	832988	NV
2	363LF0000X	Family Nurse Practitioner	NP95014466	CA

General Provider Information

NPI Number	:	1831792753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MARIE MARSH FNP

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-877-5199
Fax Number	:

Provider Business Practice Location Address
First Line	:	1655 E CACTUS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7722
Country	:	US
Telephone Number	:	702-877-5199
Fax Number	:

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

Provider Enumeration Date	:	11/21/2020
Last Update Date	:	03/17/2026

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