Provider Demographics
NPI:1417920844
Name:MARSHBURN, KAREN O (CNM)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:O
Last Name:MARSHBURN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 BRIERWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-2027
Mailing Address - Country:US
Mailing Address - Phone:910-200-8389
Mailing Address - Fax:
Practice Address - Street 1:408 BRIERWOOD TRL
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-2027
Practice Address - Country:US
Practice Address - Phone:910-200-8389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC116515367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife