Provider Demographics
NPI:1275868671
Name:MARAGH-FORESTER, MARSHA (LPN)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:MARAGH-FORESTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E MEADOW WIND LN
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-7013
Mailing Address - Country:US
Mailing Address - Phone:845-566-0028
Mailing Address - Fax:
Practice Address - Street 1:200 E MEADOW WIND LN
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-7013
Practice Address - Country:US
Practice Address - Phone:845-566-0028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279885-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse