Provider Demographics
NPI:1235318825
Name:DAVIS, MARSHA RIAL (RN MS FNP)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:RIAL
Last Name:DAVIS
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Gender:F
Credentials:RN MS FNP
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Mailing Address - Street 1:30 CAMPUS ROAD
Mailing Address - Street 2:BARD COLLEGE STUDENT HEALTH SERVICE BARD COLLEGE
Mailing Address - City:ANNANDALE ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12504
Mailing Address - Country:US
Mailing Address - Phone:845-758-7433
Mailing Address - Fax:845-758-7437
Practice Address - Street 1:30 CAMPUS ROAD
Practice Address - Street 2:BARD COLLEGE STUDENT HEALTH SERVICE BARD COLLEGE
Practice Address - City:ANNANDALE ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12504
Practice Address - Country:US
Practice Address - Phone:845-758-7433
Practice Address - Fax:845-758-7437
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
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Provider Licenses
StateLicense IDTaxonomies
NYF3302611363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily