Provider Demographics
NPI:1235435595
Name:MARSHALL, NATALYNN (RN)
Entity Type:Individual
Prefix:
First Name:NATALYNN
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3835 GLADERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-2420
Mailing Address - Country:US
Mailing Address - Phone:932-276-8775
Mailing Address - Fax:281-893-5136
Practice Address - Street 1:7006 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-3720
Practice Address - Country:US
Practice Address - Phone:832-276-8775
Practice Address - Fax:281-893-5136
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities