Provider Demographics
NPI:1275018897
Name:MARSH, ZYRENE LOUISE FRANCISCO (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:ZYRENE LOUISE
Middle Name:FRANCISCO
Last Name:MARSH
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:ZYRENE
Other - Middle Name:LOUISE FRANCISCO
Other - Last Name:DE ROBLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:550 W RANCH VIEW DR STE 2005
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5397
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 W RANCH VIEW DR STE 2005
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-5397
Practice Address - Country:US
Practice Address - Phone:916-295-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2023-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRNCNP023707363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
00000OtherNONE