Provider Demographics
NPI:1043807415
Name:MARSH, HELEN
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:MARSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1163
Mailing Address - Street 2:
Mailing Address - City:WASHBURN
Mailing Address - State:ND
Mailing Address - Zip Code:58577-1163
Mailing Address - Country:US
Mailing Address - Phone:208-991-6303
Mailing Address - Fax:
Practice Address - Street 1:1581 28TH AVE SW
Practice Address - Street 2:
Practice Address - City:HENSLER
Practice Address - State:ND
Practice Address - Zip Code:58530-9440
Practice Address - Country:US
Practice Address - Phone:802-991-6303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant