Provider Demographics
NPI:1073690533
Name:WARD, MARSHA LYNN (NP)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:LYNN
Last Name:WARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:LYNN
Other - Last Name:GOODWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:60 CAPITAL DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1186
Mailing Address - Country:US
Mailing Address - Phone:740-779-4100
Mailing Address - Fax:740-779-4149
Practice Address - Street 1:60 CAPITAL DR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1186
Practice Address - Country:US
Practice Address - Phone:740-779-4404
Practice Address - Fax:740-779-4449
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.09094-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner