Provider Demographics
NPI:1487654539
Name:MARRS, CATHERINE W (RN)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:W
Last Name:MARRS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SHADOWBROOK DR SE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-8518
Mailing Address - Country:US
Mailing Address - Phone:706-295-6633
Mailing Address - Fax:
Practice Address - Street 1:1305 REDMOND CIR NW
Practice Address - Street 2:BLDG. 614
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1345
Practice Address - Country:US
Practice Address - Phone:706-295-6827
Practice Address - Fax:706-802-5086
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN030925163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse